Individual
SUSAN KINARD DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 S WALL ST, SHELBYVILLE, TN 37160-3797
(931) 684-0522
Mailing address
1921 RANSOM PL, NASHVILLE, TN 37217-3841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/21/2013
Last updated
12/07/2020
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