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Individual

GENEVIE DAVENPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6874 S ULSTER CIR, CENTENNIAL, CO 80112-1364
(541) 761-6230
Mailing address
6874 S ULSTER CIR, CENTENNIAL, CO 80112-1364

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-125837

Other

Enumeration date
06/26/2020
Last updated
06/26/2020
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