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1548678972
MIRANDA LYNN DAVENPORT
ELMIRA, NY
NPI
1548678972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 086523)
Enumeration Date
2014-07-29
Last Update Date
2024-10-18
Business Address
MIRANDA LYNN DAVENPORT
244 W WATER ST STE 200
ELMIRA, NY 14901-2926
Phone number: 607-737-5215
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Mailing Address
MIRANDA LYNN DAVENPORT
1019 E WATER ST
ELMIRA, NY 14901-3332
Phone number:
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