Whalio Doctors

NPI 1003023995

Mary J. Davis

Practitioner Social Worker Shreveport, LA

Practice location

Address
Overton Brooks VA Medical Center 510 E. Stoner Avenue, Shreveport, LA 71101-4295
Phone
(318) 221-8411
Fax
(318) 429-5721
Mailing address
700 Arlington St, Ruston, LA 71270-4952

Registered specialties

Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 5639 (LA)

Registry record

NPI
1003023995
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 May 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.