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1821462805
JOHN RUSSELL DAVENPORT
GASTONIA, NC
NPI
1821462805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC A11964)
Enumeration Date
2015-11-13
Last Update Date
2015-11-13
Business Address
-- JOHN RUSSELL DAVENPORT LPCA
635 COX RD SUITE B
GASTONIA, NC 28054-3424
Phone number: 704-691-7561
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Mailing Address
-- JOHN RUSSELL DAVENPORT LPCA
635 COX RD SUITE B
GASTONIA, NC 28054-3424
Phone number: 704-691-7561
Copy
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