Individual
MRS. KUYOM R DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CACII
Contact information
Practice address
2459 CANDLER RD, DECATUR, GA 30032-6400
(678) 599-1685
Mailing address
2459 CANDLER RD, DECATUR, GA 30032-6400
(678) 599-1685
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
GA
Other
Enumeration date
12/02/2019
Last updated
11/27/2023
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