Individual
SHARON ROSE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLC
Contact information
Practice address
400 STODDARD RD, RICHMOND, MI 48062-2505
(810) 392-2167
Mailing address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 985-8900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
09/04/2024
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