| NPI | 1073668984 |
|---|---|
| Professional Name | CONSTANCE R DAVIS-OLDHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 35000822A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34001635A) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-09 |