Larry Paul Davenport

NPI #1265185409 in Mount Vernon, Kentucky

Provider Information

NPI Number: 1265185409
Entity Type: Individual
Name: Larry Paul Davenport
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 28, 2022
Last Updated: Jan 28, 2022

Practice Location

Address: 116 PROGRESS DR
City: Mount Vernon
State: Kentucky
ZIP Code: 40456-8590
Phone: (606) 256-2143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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