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1285616912
LAURA DAVENPORT
WATKINSVILLE, GA
NPI
1285616912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC003222)
Enumeration Date
2005-11-17
Last Update Date
2009-05-22
Business Address
Mrs. LAURA DAVENPORT LPC
1020 BARBER CREEK DR STE 213 STE.213
WATKINSVILLE, GA 30677-5984
Phone number: 706-548-9545
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Mailing Address
Mrs. LAURA DAVENPORT LPC
PO BOX 1558
WATKINSVILLE, GA 30677-0031
Phone number: 706-548-9545
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