Individual
I'DONNA DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 REA STREET, MANSFIELD, LA 71052-0133
(318) 655-5844
Mailing address
PO BOX 133, MANSFIELD, LA 71052-0133
(318) 655-5844
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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