Individual
JENNIFER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 MAIN STREET, UNIT B, MEAD, CO 80542
(303) 329-0870
(303) 394-0871
Mailing address
PO BOX 177, MEAD, CO 80542-0177
(303) 329-0870
(303) 394-0871
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-657
CO
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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