Davis, Laura L

Davis, Laura L is an individual health care provider with primary practice located at 770 W Ridge Rd , Wytheville VA 24382-1046. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Laura L can be contacted via phone (276) 223-3200.

Contact Information

Primary practice address
770 W Ridge Rd Wytheville VA 24382-1046
Phone: (276) 223-3200
Fax: (276) 223-0617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1396875464
LBN Legal business name Davis, Laura L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jun 8th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396875464 NPPES
Virginia MEDICAID 004945298

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