Individual
CHELSEA LEOVY DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1273 W 12600 S SUITE 403, RIVERTON, UT 84065-8410
(918) 639-1322
Mailing address
803 E COATSVILLE AVE, SALT LAKE CITY, UT 84105-3209
(918) 639-1322
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11768834-3502
UT
Other
Enumeration date
08/30/2020
Last updated
08/30/2020
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