STACY LYNN DAVENPORT

LA MESA, CA
NPI1275628893
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS 23732)
Additional Taxonomies104100000X Social Worker
(Licence: CA  LCS 23732)
Enumeration Date2006-10-03
Last Update Date2020-11-04
Business Address
STACY LYNN DAVENPORT L.C.S.W.
500 OLIVE ST
LA MESA, CA 95901
Phone number: 916-316-5041
Mailing Address
STACY LYNN DAVENPORT L.C.S.W.
8030 LA MESA BLVD # 211
LA MESA, CA 91942-0335
Phone number: 916-316-5041