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1497818116
ELIZABETH DAVENPORT
WALTHAM, MA
NPI
1497818116
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Other Name
ELIZABETH E DAVENPORT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 100214)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
-- ELIZABETH DAVENPORT LICSW
740 MAIN ST SUITE #105
WALTHAM, MA 02451
Phone number: 781-937-4172
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Mailing Address
-- ELIZABETH DAVENPORT LICSW
4 ANGIER RD
LEXINGTON, MA 02420
Phone number: 781-862-4907
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