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1851663256
TERESA L DAVENPORT
CHAMPAIGN, IL
NPI
1851663256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2012-01-31
Last Update Date
2018-06-27
Business Address
TERESA L DAVENPORT PhD
201 W SPRINGFIELD AVE STE 211
CHAMPAIGN, IL 61820
Phone number: 217-621-6180
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Mailing Address
TERESA L DAVENPORT PhD
40 CAMELOT DR
FOND DU LAC, WI 54935-8049
Phone number: 920-907-8201
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