Individual
KATELYNNE ROSE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HALLORAN LANE, SAINT CLAIRSVILLE, OH 43950
(740) 296-5743
Mailing address
46070 COUNTRY LAKE DR, SAINT CLAIRSVILLE, OH 43950-8782
(740) 359-4281
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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