Individual
DAZAH DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5616 WOODMEN RIDGE VW APT 301, COLORADO SPRINGS, CO 80923-5223
(804) 436-6412
Mailing address
5616 WOODMEN RIDGE VW APT 301, COLORADO SPRINGS, CO 80923-5223
(804) 436-6412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LSW.0009924367
CO
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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