Individual
CHRISTY MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
207 TOWNEPARK CIR STE 201, LOUISVILLE, KY 40243-2322
(502) 415-8705
(502) 473-5529
Mailing address
1317 OLD TAYLOR TRL, GOSHEN, KY 40026-9727
(502) 797-1609
(502) 473-5529
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5045
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100387930
—
KY
Enumeration date
03/05/2007
Last updated
04/23/2018
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