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1114494663
KATHERINE WYNN DAVENPORT
TULLAHOMA, TN
NPI
1114494663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: TN 0000003928)
Enumeration Date
2018-11-01
Last Update Date
2018-11-01
Business Address
MRS. KATHERINE WYNN DAVENPORT SLP-CCC
1321 CEDAR LN
TULLAHOMA, TN 37388-2227
Phone number: 931-222-4207
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Mailing Address
MRS. KATHERINE WYNN DAVENPORT SLP-CCC
210 LAKE CIRCLE DR
TULLAHOMA, TN 37388-5210
Phone number: 931-247-5455
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