Individual
MR. OLIVER JAMES DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, LMSW
Contact information
Practice address
6910 N MAIN ST UNIT 4, GRANGER, IN 46530
(574) 876-6938
(574) 931-2679
Mailing address
6910 N MAIN ST UNIT 4, GRANGER, IN 46530-9681
(574) 876-6938
(574) 931-2679
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003612A
IN
1041C0700X
Clinical Social Worker
6801066829
MI
Other
Enumeration date
03/29/2010
Last updated
11/04/2019
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