Individual
DOMINIQUE A DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11700 AMER CT, FORT WASHINGTON, MD 20744-5953
(202) 821-9342
Mailing address
11700 AMER CT, FORT WASHINGTON, MD 20744-5953
(202) 821-9342
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP15716
MD
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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