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1881015238
PATRICIA DAVENPORT
VALLEJO, CA
NPI
1881015238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A8444004)
Enumeration Date
2014-01-01
Last Update Date
2014-01-01
Business Address
-- PATRICIA DAVENPORT
1149 WARREN AVE
VALLEJO, CA 94591-7512
Phone number: 707-552-5295
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Mailing Address
-- PATRICIA DAVENPORT
1149 WARREN AVE
VALLEJO, CA 94591-7512
Phone number: 707-552-5295
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