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Individual
MRS. HEATHER DAVENPORT
Active
Individual
MRS. HEATHER DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT#101616
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
73583
CA
106H00000X
Marriage & Family Therapist
Primary
LMFT101616
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
09/13/2011
Last updated
06/13/2018
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