Individual
ELIZABETH K DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
43 CHAMPIONS AVE, BIG STONE GAP, VA 24219-1105
(276) 523-8300
(276) 523-6964
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904016549
VA
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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