Individual
MR. DAVID BOYD DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.DIV., LCSW
Contact information
Practice address
305 LONDONDERRY DR STE 4, WACO, TX 76712-7906
(254) 772-8360
Mailing address
601 EDGEWOOD AVE, WACO, TX 76708-2234
(254) 644-6265
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24178
TX
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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