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1487360855
AISHA J DAVENPORT
SAN DIEGO, CA
NPI
1487360855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2023-01-27
Last Update Date
2023-06-01
Business Address
AISHA J DAVENPORT
1202 MORENA BLVD STE 300
SAN DIEGO, CA 92110-3844
Phone number: 619-275-0822
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Mailing Address
AISHA J DAVENPORT
1202 MORENA BLVD STE 300
SAN DIEGO, CA 92110-3844
Phone number: 619-275-0822
Copy
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