Jerry Davis

NPI #1306298591 in Florissant, Missouri

Provider Information

NPI Number: 1306298591
Entity Type: Individual
Name: Jerry Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jul 12, 2016
Last Updated: Mar 16, 2022

Practice Location

Address: 1150 GRAHAM RD STE 102
City: Florissant
State: Missouri
ZIP Code: 63031-8077
Phone: (314) 285-4733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Social Worker	104100000X	Primary

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