Courtney Davis LCSW, CSAC, CSIT

NPI 1124294939 - Counselor - 101YA0400X

NPI Details
NPI 1124294939
Gender Female
Enumeration Date 05/01/2008
Last Updated 10/16/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
721 AMERICAN AVE
SUITE 501
WAUKESHA WI, 53188-5071, US
Phone (262) 928-2396
Fax
Business Location
721 AMERICAN AVE
SUITE 501
WAUKESHA WI, 53188-5071, US
Phone (262) 928-2396
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Wisconsin
License Number 15453-130
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According to our database, Courtney Davis LCSW, CSAC, CSIT NPI is 1124294939, taxonomy code is 101YA0400X and license number is 15453-130, license state is located at Wisconsin. Courtney Davis LCSW, CSAC, CSIT physically located at 721 American Ave, Waukesha WI, 53188-5071. NPI Number Courtney Davis LCSW, CSAC, CSIT has the Individual type.

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1124294939 NPI number is provided on an as is basis without warranty of any kind. 1124294939 is maintained by the National Plan & Provider Enumeration System. The contents of Courtney Davis LCSW, CSAC, CSIT are for informational purposes only.