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Individual

SARAH DAVENPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
95 BERKELEY ST, 6, BOSTON, MA 02116-6230
(617) 350-6900
Mailing address
142 CRESCENT ST, BROCKTON, MA 02302-3104
(508) 941-0005
(508) 427-6915

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
05/07/2012
Last updated
05/07/2012
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