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1174043681
GREGORY DAVENPORT
ORANGE, CA
NPI
1174043681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 115460)
Enumeration Date
2017-06-26
Last Update Date
2021-12-01
Business Address
Mr. GREGORY DAVENPORT LMFT
1940 W ORANGEWOOD AVE STE 110
ORANGE, CA 92868-5042
Phone number: 714-833-0433
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Mailing Address
Mr. GREGORY DAVENPORT LMFT
593 S KENSINGTON RD
ORANGE, CA 92869-5147
Phone number: 714-833-0433
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