Individual
ROBIN G. DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
697 VALLEY ST, MAPLEWOOD, NJ 07040-2641
(973) 763-9165
Mailing address
1 CROWELL PL, MAPLEWOOD, NJ 07040-1315
(973) 763-9165
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00038700
NJ
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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