Patricia Marie Davis, LCSW
Social Worker, Clinical in Boise, ID. Individual provider (NPI-1).
NPI number1871069708
StatusActive
Last updated in NPPESOct 18, 2018
Details
- NPI
- 1871069708
- Entity type
- Individual (NPI-1)
- Name
- Patricia Marie Davis
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2018
- Last updated
- Oct 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW-36443 | ID | Yes |
Practice location
6933 W Emerald StBoise, ID 83704-8616
Phone 208-321-0634 · Fax 208-321-1082
Mailing address
6933 W Emerald StBoise, ID 83704-8616
Phone 208-321-0634 · Fax 208-321-1082
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