Provider Information for 1508134206
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CECILIA N. DAVIS LCPC
Sex: Female
NPI: 1508134206
Last Updated: 2025-01-25
Certification Date: 2025-01-25
Certification Date: 2025-01-25
Details
| Name | Value | ||||||||||||
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| NPI | 1508134206 | ||||||||||||
| Enumeration Date | 2011-12-08 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 900 E DIEHL RD NAPERVILLE, IL 60563-1403 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 900 E DIEHL RD NAPERVILLE, IL 60563-1403 United States Phone: 630-219-0103 | Fax: | ||||||||||||
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