John T Davis LCSW

NPI 1356409148 - Social Worker - 1041C0700X

NPI Details
NPI 1356409148
Gender Male
Enumeration Date 12/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1201 MAIN STREET
STE 210
BAKER CITY OR, 97814-2419, US
Phone (541) 403-1251
Fax (541) 523-5288
Business Location
1201 MAIN ST
STE 210
BAKER CITY OR, 97814-2419, US
Phone (541) 403-1251
Fax (541) 523-5288
Toxanomy
Taxonomy Code 1041C0700X
License State Oregon
License Number L3473
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According to our database, Mr. John T Davis LCSW NPI is 1356409148, taxonomy code is 1041C0700X and license number is L3473, license state is located at Oregon. John T Davis LCSW physically located at 1201 Main Street, Baker City OR, 97814-2419. NPI Number John T Davis LCSW has the Individual type.

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1356409148 NPI number is provided on an as is basis without warranty of any kind. 1356409148 is maintained by the National Plan & Provider Enumeration System. The contents of John T Davis LCSW are for informational purposes only.