Individual
EDDIE RAY DAVENPORT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
18 CHURCH ST, CANTON, NC 28716-4457
(828) 707-3291
Mailing address
18 CHURCH ST, CANTON, NC 28716-4457
(828) 707-3291
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C017490
NC
Other
Enumeration date
12/07/2021
Last updated
01/02/2025
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