Individual
MR. ANDREW THOMAS DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
32 UPPER FRONT ST APT C, VAN ETTEN, NY 14889-9557
(607) 351-3661
Mailing address
32 UPPER FRONT ST APT C, VAN ETTEN, NY 14889-9557
(607) 351-3661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
096316
NY
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/13/2023
Last updated
06/09/2025
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