Davis, Mary J.

Davis, Mary J. is an individual health care provider with primary practice located at Overton Brooks Va Medical Center 510 E. Stoner Avenue, Shreveport LA 71101-4295. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Davis, Mary J. can be contacted via phone (318) 221-8411.

Contact Information

Primary practice address
Overton Brooks Va Medical Center 510 E. Stoner Avenue Shreveport LA 71101-4295
Phone: (318) 221-8411
Fax: (318) 429-5721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 5639 Louisiana

Profile Details

NPI number 1003023995
LBN Legal business name Davis, Mary J.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jul 8th, 2007 - about 17 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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