Individual
MRS. ELIZABETH KUNNECKE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1440 WHALLEY AVE, NEW HAVEN, CT 06515-1144
(203) 389-5599
(203) 389-5904
Mailing address
1440 WHALLEY AVE, NEW HAVEN, CT 06515-1144
(203) 389-5599
(203) 389-5904
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4609
CT
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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