KELLY DAVIS
Social Worker - Clinical
Active
Individual
NPI: 1356167886
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 149027065 (IL) |
Frequently Asked Questions
NPI 1356167886 is the National Provider Identifier for KELLY DAVIS, a Social Worker - Clinical provider located in Peoria, IL. This NPI was enumerated on November 30, 2024.
KELLY DAVIS practices at 1913 W TOWNLINE RD, Peoria, IL 61615.
Quick Facts
- NPI
- 1356167886
- Type
- Individual
- Enumerated
- Nov 30, 2024
- Last Updated
- Nov 30, 2024
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