Davis, Shadequia

Davis, Shadequia is an individual health care provider with primary practice located at 402 Richards St , Joliet IL 60433-2218. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Davis, Shadequia can be contacted via phone (815) 727-5271.

Contact Information

Primary practice address
402 Richards St Joliet IL 60433-2218
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 2489765 Illinois

Profile Details

NPI number 1033724232
LBN Legal business name Davis, Shadequia
Credentials MS, NCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2020
Last updated Sep 14th, 2020 - 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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