Individual
MISS KRISTINA STARR DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 N WOODS EDGE DR, APPLETON, WI 54914-3149
(920) 738-7795
(920) 882-5448
Mailing address
300 N WOODS EDGE DR, APPLETON, WI 54914-3149
(920) 738-7795
(920) 882-5448
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2709-123
WI
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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