Individual
KELLY DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 W GROVE ST STE E, MIDDLEBORO, MA 02346-1462
(508) 927-1955
Mailing address
593 OLD COUNTY RD, WESTPORT, MA 02790-1106
(508) 965-2054
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
03/03/2021
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