Bryant L Davis, LCSW
NPI #1366298143 in Carbondale, Illinois
Provider Information
- NPI Number
- 1366298143
- Entity Type
- Individual
- Name
- Bryant L Davis, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Apr 24, 2024
- Last Updated
- Jul 18, 2024
Practice Location
- Address
- 2601 W MAIN ST
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-1031
- Phone
- (618) 549-5361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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