TRACEY DAVENPORT

LOS ANGELES, CA
NPI1003254780
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-06-04
Last Update Date2013-06-04
Business Address
-- TRACEY DAVENPORT
5012 S LA BREA AVE STE 2
LOS ANGELES, CA 90056-1863
Phone number: 323-290-0200
Mailing Address
-- TRACEY DAVENPORT
5012 S LA BREA AVE STE 2
LOS ANGELES, CA 90056-1863
Phone number: 323-290-0200
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