Eddie Ray Davenport III, LCSW
NPI #1538827498 in Canton, North Carolina
Provider Information
- NPI Number
- 1538827498
- Entity Type
- Individual
- Name
- Eddie Ray Davenport III, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Dec 7, 2021
- Last Updated
- Jan 2, 2025
Practice Location
- Address
- 18 CHURCH ST
- City
- Canton
- State
- North Carolina
- ZIP Code
- 28716-4457
- Phone
- (828) 707-3291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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