Individual
KRISTEN NICOLE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
745 S MILLEDGE AVE, ATHENS, GA 30605-1252
(706) 498-9560
Mailing address
744 NOAH DRIVE, SUITE 113 #245, JASPER, GA 30143
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW009099
GA
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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