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1215780994
DIANNE DAVENPORT
RIVERTON, UT
NPI
1215780994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 12727539-3501)
Enumeration Date
2024-04-10
Last Update Date
2024-04-10
Business Address
DIANNE DAVENPORT LCSW
3723 W 12600 S STE 330
RIVERTON, UT 84065-7309
Phone number: 385-622-0353
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Mailing Address
DIANNE DAVENPORT LCSW
3723 W 12600 S STE 330
RIVERTON, UT 84065-7309
Phone number: 385-622-0353
Copy
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