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1013449990
PATRICE DAVENPORT
TAKOMA PARK, MD
NPI
1013449990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: MD 30-2338)
Enumeration Date
2017-03-30
Last Update Date
2017-03-30
Business Address
-- PATRICE DAVENPORT
7603 16TH AVE
TAKOMA PARK, MD 20912-7037
Phone number: 301-659-4363
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Mailing Address
-- PATRICE DAVENPORT
8020 GREENBELT STATION PKWY APT 210
GREENBELT, MD 20770-4174
Phone number:
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