Davis, Audrey Anna

Davis, Audrey Anna is an individual health care provider with primary practice located at 2704 N Main St , Rockford IL 61103-3112. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Davis, Audrey Anna can be contacted via phone (815) 391-1000.

Contact Information

Primary practice address
2704 N Main St Rockford IL 61103-3112
Phone: (815) 391-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1790451086
LBN Legal business name Davis, Audrey Anna
Credentials RSA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2021
Last updated Aug 18th, 2021 - about 4 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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