Individual
MS. ANNETTA JEAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
7950 CLYO ROAD, CENTERVILLE, OH 45459
(513) 310-7293
(937) 938-5249
Mailing address
7950 CLYO RD, CENTERVILLE, OH 45459
(513) 310-7293
(937) 938-5249
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1101155
OH
Other
Enumeration date
08/18/2009
Last updated
02/09/2019
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