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1467870048
ELISE LOUISE DAVENPORT
BEND, OR
NPI
1467870048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR L6685)
Enumeration Date
2014-04-01
Last Update Date
2016-09-19
Business Address
-- ELISE LOUISE DAVENPORT LCSW
600 SW COLUMBIA ST SUITE 6210
BEND, OR 97702-1099
Phone number: 541-383-3005
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Mailing Address
-- ELISE LOUISE DAVENPORT LCSW
600 SW COLUMBIA ST SUITE 6210
BEND, OR 97702-1099
Phone number: 541-383-3005
Copy
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