TYLA DAVENPORT

VICKSBURG, MS
NPI1114575628
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-08-28
Last Update Date2019-08-28
Business Address
TYLA DAVENPORT
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number: 601-638-0031
Mailing Address
TYLA DAVENPORT
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number: 601-638-0031