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1164240172
DESIREE DAVIS
SOUTH BEND, IN
NPI
1164240172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34002322A)
Enumeration Date
2024-09-30
Last Update Date
2024-09-30
Business Address
DESIREE DAVIS
211 N EDDY ST
SOUTH BEND, IN 46617-2808
Phone number: 574-234-8161
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Mailing Address
DESIREE DAVIS
430 KOSCIUSZKO ST
SOUTH BEND, IN 46619-3508
Phone number:
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