TYRA DAVENPORT

GREENSBORO, NC
NPI1740567759
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: NC  8781)
Additional Taxonomies101Y00000X Counselor
(Licence: NC  8781)
101YM0800X Counselor, Mental Health
(Licence: NC  8781)
Enumeration Date2011-11-04
Last Update Date2011-11-04
Business Address
-- TYRA DAVENPORT
4004 N CHURCH ST
GREENSBORO, NC 27455-2624
Phone number: 336-686-3226
Mailing Address
-- TYRA DAVENPORT
PO BOX 29221
GREENSBORO, NC 27429-9221
Phone number: 336-686-3226