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1417592072
KERRY DAVENPORT BANTA
CAMP HILL, PA
NPI
1417592072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: PA PC011943)
Enumeration Date
2019-11-07
Last Update Date
2019-11-07
Business Address
Mrs. KERRY DAVENPORT BANTA MA, LPC
218 N 29TH ST
CAMP HILL, PA 17011-2904
Phone number: 717-503-5909
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Mailing Address
Mrs. KERRY DAVENPORT BANTA MA, LPC
218 N 29TH ST
CAMP HILL, PA 17011-2904
Phone number: 717-503-5909
Copy
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