Most Relevant Information
Provider Data
| NPI Number: | 1003228826 |
| Provider Name: | TREVAUGHN DAVIS-NEAL LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149.016552 |
Most Important Dates
| Enumeration Date: | 05/28/2014 |
| Last Updated: | 05/18/2022 |
Provider Practice Location
9800 CONNECTICUT DR
CROWN POINT
IN
463077840
Practice Location Phone/Fax
| Phone: | 8662200238 |
| Fax: | 8662220631 |
Provider Mailing Location
128 S EAST ST UNIT 627
CROWN POINT
IN
463083450
Provider Mailing Phone/Fax
| Phone: | 8662200238 |
| Fax: | 8662220631 |