Individual
MS. DAWN MARIE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1421 WAYNE STREET, TRAVERSE CITY, MI 49684-1432
(231) 922-9625
(231) 929-5594
Mailing address
1421 WAYNE STREET, TRAVERSE CITY, MI 49684-1432
(231) 922-9625
(231) 929-5594
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801094779
MI
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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