Individual
ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
521 N ORANGE ST, MISSOULA, MT 59802-4128
(707) 889-4078
Mailing address
1029 S 2ND ST W APT 2, MISSOULA, MT 59801-2353
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-8672
MT
Other
Enumeration date
12/21/2015
Last updated
04/12/2023
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