Jon Davis MSW, LCSW

NPI 1376605881 - Social Worker - 1041C0700X

NPI Details
NPI 1376605881
Gender Male
Enumeration Date 12/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
202 W PARK AVE
CHAMPAIGN IL, 61820-3929, US
Phone (217) 373-2430
Fax
Business Location
202 W PARK AVE
CHAMPAIGN IL, 61820-3929, US
Phone
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State
License Number
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According to our database, Mr. Jon Davis MSW, LCSW NPI is 1376605881, taxonomy code is 1041C0700X Jon Davis MSW, LCSW physically located at 202 W Park Ave, Champaign IL, 61820-3929. NPI Number Jon Davis MSW, LCSW has the Individual type.

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1376605881 NPI number is provided on an as is basis without warranty of any kind. 1376605881 is maintained by the National Plan & Provider Enumeration System. The contents of Jon Davis MSW, LCSW are for informational purposes only.