Individual
MR. DENNIS ROY DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
1011 WEST MORGAN STREET, PARAGOULD, AR 72450
(870) 335-9483
(870) 335-9487
Mailing address
1815 PLEASANT GROVER BLVD, JONESBORO, AR 72404
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/23/2009
Last updated
05/18/2018
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