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1811675093
CRYSTAL ANGELINA DAVENPORT
STOCKTON, CA
NPI
1811675093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW93101)
Enumeration Date
2023-07-07
Last Update Date
2023-07-07
Business Address
CRYSTAL ANGELINA DAVENPORT ACSW
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-640-9128
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Mailing Address
CRYSTAL ANGELINA DAVENPORT ACSW
102 S SAN JOAQUIN ST # 1
STOCKTON, CA 95202-3213
Phone number: 209-468-2779
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