Individual
BARBARA WILSON DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5421 RIVER BLUFF PKWY, NORTH CHARLESTON, SC 29420-7135
(843) 300-0440
Mailing address
116 DORCHESTER AVE, SUMMERVILLE, SC 29483-3740
(843) 367-7092
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8080
SC
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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