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1578740510
KATHRYN ELLEN DAVIS
MARION, IL
NPI
1578740510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.013758)
Enumeration Date
2008-01-22
Last Update Date
2009-08-20
Business Address
Ms. KATHRYN ELLEN DAVIS LCSW
3111 WILLIAMSON COUNTY PKWY
MARION, IL 62959-5235
Phone number: 618-997-3647
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Mailing Address
Ms. KATHRYN ELLEN DAVIS LCSW
909 S RUSSELL ST
MARION, IL 62959-1544
Phone number: 618-694-1178
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