MR. John T Davis, LCSW

NPI #1356409148 in Baker City, Oregon

Provider Information

NPI Number
1356409148
Entity Type
Individual
Name
MR. John T Davis, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Dec 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1201 MAIN STREET
Address 2
STE 210
State
Oregon
ZIP Code
97814-2419
Phone
(541) 403-1251

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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