Most Relevant Information
Provider Data
| NPI Number: | 1003023995 |
| Provider Name: | MARY J. DAVIS |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 5639 |
Most Important Dates
| Enumeration Date: | 05/17/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
OVERTON BROOKS VA MEDICAL CENTER
510 E. STONER AVENUE
SHREVEPORT
LA
711014295
Practice Location Phone/Fax
| Phone: | 3182218411 |
| Fax: | 3184295721 |
Provider Mailing Location
700 ARLINGTON ST
RUSTON
LA
712704952
Provider Mailing Phone/Fax
| Phone: | 3182556017 |
| Fax: | 3184295721 |