Individual
MR. DAVID C. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
ZABLOCKI VAMC, 5000 W. NATIONAL AVE., BLDG #7, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
10601 W UPHAM AVE, HALES CORNERS, WI 53130-1326
(414) 384-2000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2577-125
WI
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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