Individual
LORI KAY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
183 TALCOTT RD STE 206, WILLISTON, VT 05495-2075
(802) 876-1100
(802) 876-1101
Mailing address
183 TALCOTT RD STE 206, WILLISTON, VT 05495-2075
(802) 876-1100
(802) 876-1101
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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