Individual
MRS. LAUREN CYNTHIA DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1401 MURRELL TAYLOR DR, JACKSONVILLE, AR 72076-8118
(501) 985-1581
Mailing address
21 RYLEIGH CIR, CABOT, AR 72023-8072
(501) 454-8758
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3315
AR
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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