Organization
MARY G. DAVENPORT, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY G DAVENPORT (PSYCHOTHERAPIST)
(941) 366-3134
Entity
Organization
Contact information
Practice address
1608 OAK ST, SARASOTA, FL 34236-7517
(941) 366-3134
(941) 906-9528
Mailing address
1608 OAK ST, SARASOTA, FL 34236-7517
(941) 366-3134
(941) 906-9528
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1503
FL
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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