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Individual

LORI KAY DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000396
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03-0179601
CBA INSURANCE
VT
05
1007616
VT
01
18984
BLUE CROSS BLUE SHIELD
VT
01
383032
MVP HEALTH CARE
VT
Enumeration date
04/17/2006
Last updated
01/14/2020
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