JAQWAYLON DAVENPORT

LAFAYETTE, LA
NPI1821453747
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: LA  9251)
Enumeration Date2015-12-18
Last Update Date2025-08-28
Business Address
JAQWAYLON DAVENPORT
2520 N UNIVERSITY AVE
LAFAYETTE, LA 70507-5306
Phone number: 337-234-5614
Mailing Address
JAQWAYLON DAVENPORT
3307 AUTUMN PARK DR
MAURICE, LA 70555-5008
Phone number: 337-368-9938
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