Individual
PAMELA R DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
222 AUBURN ST STE 103, PORTLAND, ME 04103-6005
(207) 616-1127
Mailing address
222 AUBURN ST STE 103, PORTLAND, ME 04103-6005
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150105822
IL
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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