Individual
MARY ANGELA DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.F.T.
Contact information
Practice address
105 MUSIC VILLAGE BLVD, HENDERSONVILLE, TN 37075-2714
(615) 824-3772
(615) 447-1065
Mailing address
105 MUSIC VILLAGE BLVD, HENDERSONVILLE, TN 37075-2714
(615) 824-3772
(615) 447-1065
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
808
TN
Other
Enumeration date
03/19/2011
Last updated
03/19/2011
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