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Michael Rae Davis, LISW

Social Worker, Clinical in West Burlington, IA. Individual provider (NPI-1).

NPI number1144239641
StatusActive
Last updated in NPPESMar 31, 2021

Details

NPI
1144239641
Entity type
Individual (NPI-1)
Name
Michael Rae Davis
Credential
LISW
Sex
Male
Sole proprietor
No
Enumeration date
Aug 5, 2006
Certification date
Mar 31, 2021
Last updated
Mar 31, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical02700IAYes

Practice location

1221 S Gear Ave
West Burlington, IA 52655-1681

Phone 319-524-3560 · Fax 319-865-3110

Mailing address

2416 340th St
Keokuk, IA 52632-9539

Phone 319-524-3560 · Fax 319-865-3110

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Other Clinical Social Worker providers in West Burlington, IA

All 7 Clinical Social Worker providers in West Burlington · All 322 providers in West Burlington

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