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Individual

MRS. DEBORAH JUNE DAVENPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-1763
Mailing address
4207 LAKEVIEW RD, NORTH LITTLE ROCK, AR 72116-7369
(501) 758-7379
(501) 758-5959

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2043-C
AR

Other

Enumeration date
11/29/2008
Last updated
11/29/2008
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