Individual
DR. GARION DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-7324
(910) 907-8922
Mailing address
2817 REILLY ST, FORT BRAGG, NC 28310-7324
(910) 907-8922
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4358
AZ
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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