Shea Lee Davenport, MA
NPI #1104510957 in South Miami, Florida
Provider Information
- NPI Number
- 1104510957
- Entity Type
- Individual
- Name
- Shea Lee Davenport, MA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- MA
- Enumeration Date
- Jun 5, 2023
- Last Updated
- Jun 5, 2023
Practice Location
- Address
- 5875 SW 74TH TER APT N-37
- City
- South Miami
- State
- Florida
- ZIP Code
- 33143-5266
- Phone
- (702) 556-0056
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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