Individual
ELIJAH DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 PIIKOI ST, SUITE 203, HONOLULU, HI 96814-3116
(808) 589-1829
(808) 589-2610
Mailing address
PO BOX 22922, HONOLULU, HI 96823-2922
(808) 450-4344
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-4774
HI
Other
Enumeration date
03/23/2012
Last updated
01/03/2024
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