Individual
MS. LAWREN DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
908 E 14TH ST, SILVER CITY, NM 88061-7939
(575) 654-6841
Mailing address
908 E 14TH ST, SILVER CITY, NM 88061-7939
(575) 654-6841
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1165
NM
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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