GARY RALPH DAVIS

BEREA, KY
NPI1790309003
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  447)
Enumeration Date2020-06-02
Last Update Date2020-06-02
Business Address
GARY RALPH DAVIS LCSW
275 PINE VALLEY RD
BEREA, KY 40403-9544
Phone number: 859-302-7504
Mailing Address
GARY RALPH DAVIS LCSW
275 PINE VALLEY RD
BEREA, KY 40403-9544
Phone number: 859-302-7504