Leslie Davis

NPI #1548531486 in Shelbyville, Illinois

Provider Information

NPI Number: 1548531486
Entity Type: Individual
Name: Leslie Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jan 24, 2012
Last Updated: Jan 24, 2012

Practice Location

Address: 1810 W SOUTH 3RD ST
City: Shelbyville
State: Illinois
ZIP Code: 62565-9595
Phone: (217) 774-2113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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