Individual
HOLLIE STEWART DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
CORNER OF LAMONT & VETERANS WAY, BUILDING 160, MOUNTAIN HOME, TN 37684-6000
(423) 926-1171
(423) 979-2645
Mailing address
PO BOX 6000, MOUNTAIN HOME, TN 37684-6000
(423) 926-1171
(423) 979-2645
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7142
TN
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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