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1144239641
MICHAEL RAE DAVIS
WEST BURLINGTON, IA
NPI
1144239641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 02700)
Enumeration Date
2006-08-05
Last Update Date
2021-03-31
Business Address
MICHAEL RAE DAVIS LISW
1221 S GEAR AVE
WEST BURLINGTON, IA 52655-1681
Phone number: 319-524-3560
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Mailing Address
MICHAEL RAE DAVIS LISW
2416 340TH ST
KEOKUK, IA 52632-9539
Phone number: 319-524-3560
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