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1508995432
LISA CAROL T DAVENPORT
WESTON, FL
NPI
1508995432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY7447)
Enumeration Date
2007-03-05
Last Update Date
2021-07-30
Business Address
Dr. LISA CAROL T DAVENPORT PhD
17100 ROYAL PALM BOULEVARD SUITE ONE
WESTON, FL 33326
Phone number: 954-217-2444
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Mailing Address
Dr. LISA CAROL T DAVENPORT PhD
1931 NW 150TH AVE STE 116
PEMBROKE PINES, FL 33028-2873
Phone number: 786-383-1856
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