Davis, Mary Beth

Davis, Mary Beth is an individual health care provider with primary practice located at 1301 Pyott Rd Suite201E, Lake In The Hills IL 60156-9794. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Mary Beth can be contacted via phone (847) 840-1600.

Contact Information

Primary practice address
1301 Pyott Rd Suite201E Lake In The Hills IL 60156-9794
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149-002443 Illinois

Profile Details

NPI number 1134138712
LBN Legal business name Davis, Mary Beth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jul 25th, 2012 - about 12 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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