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1174634091
SUSAN WICKERSHAM DAVENPORT
SEATTLE, WA
NPI
1174634091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW00004576)
Enumeration Date
2006-08-31
Last Update Date
2008-09-29
Business Address
Ms. SUSAN WICKERSHAM DAVENPORT MSW
1660 S COLUMBIAN WAY
SEATTLE, WA 98108-1532
Phone number: 206-764-2624
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Mailing Address
Ms. SUSAN WICKERSHAM DAVENPORT MSW
6827 20TH AVE NE
SEATTLE, WA 98115-6945
Phone number: 206-764-2646
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