ROBERT DAVENPORT

POCATELLO, ID
NPI1457190951
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LPC-10498)
Enumeration Date2024-05-23
Last Update Date2024-05-23
Business Address
ROBERT DAVENPORT
210 W BURNSIDE AVE
POCATELLO, ID 83202-4916
Phone number: 208-238-9000
Mailing Address
ROBERT DAVENPORT
210 W BURNSIDE AVE
POCATELLO, ID 83202-4916
Phone number: 208-590-8259
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