Individual
CHARLOTTE DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 N EAST ST, OLNEY, IL 62450-2462
(618) 429-9470
(833) 944-2035
Mailing address
1108 N EAST ST, OLNEY, IL 62450-2462
(618) 429-9470
(833) 944-2035
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1220804246
IL
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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