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Individual

MRS. AMY MARIE DAVENPORT - DAKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
76 FAIRVIEW AVE, AUGUSTA, ME 04330-5832
(603) 257-0258
(888) 977-1570
Mailing address
76 FAIRVIEW AVE STE C, AUGUSTA, ME 04330-5832
(603) 257-0258
(888) 977-1570

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2166
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
266310000
ME
Enumeration date
10/17/2006
Last updated
02/28/2024
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