Organization
JANNA L. DAVENPORT, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANNA L DAVENPORT LCSW (OWNER)
(305) 962-4849
Entity
Organization
Contact information
Practice address
1514 W 23RD ST, PANAMA CITY, FL 32405-2905
(305) 962-4849
(850) 285-2082
Mailing address
704 MONTY CIR, PANAMA CITY, FL 32405-3297
(305) 962-4849
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW6160
FL
Other
Enumeration date
01/12/2012
Last updated
08/28/2014
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