MR. Timothy Wayne Davis, LCSW
NPI #1104896745 in Jefferson City, Tennessee
Provider Information
- NPI Number
- 1104896745
- Entity Type
- Individual
- Name
- MR. Timothy Wayne Davis, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jan 25, 2006
- Last Updated
- May 19, 2009
Practice Location
- Address
- 283 W BROADWAY BLVD
- City
- Jefferson City
- State
- Tennessee
- ZIP Code
- 37760-2302
- Phone
- (865) 475-8037
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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