MS. Tamy Davenport

NPI #1093145674 in Ada, Oklahoma

Provider Information

NPI Number: 1093145674
Entity Type: Individual
Name: MS. Tamy Davenport
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Nov 19, 2013
Last Updated: Nov 19, 2013

Practice Location

Address: 111 EAST 12TH STREET
City: Ada
State: Oklahoma
ZIP Code: 74820
Phone: (580) 436-2690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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