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1912474990
KATHERINE MARIAH DAVENPORT
SALEM, OR
NPI
1912474990
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Former Name
KATHERINE MARIAH CONDREY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: OR 2987)
Enumeration Date
2018-10-29
Last Update Date
2018-10-29
Business Address
Dr. KATHERINE MARIAH DAVENPORT Psy.D.
2600 CENTER ST NE
SALEM, OR 97301-2669
Phone number: 208-305-8681
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Mailing Address
Dr. KATHERINE MARIAH DAVENPORT Psy.D.
1615 WATER ST NE APT 22
SALEM, OR 97301-0762
Phone number: 208-305-8682
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