Kelly Davenport

NPI #1215309364 in Middleboro, Massachusetts

Provider Information

NPI Number: 1215309364
Entity Type: Individual
Name: Kelly Davenport
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Oct 28, 2015
Last Updated: Mar 3, 2021

Practice Location

Address: 205 W GROVE ST STE E
City: Middleboro
State: Massachusetts
ZIP Code: 02346-1462
Phone: (508) 927-1955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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