Amanda Davenport, L.C.S.W.

NPI #1922547181 in Lagrange, Georgia

Provider Information

NPI Number
1922547181
Entity Type
Individual
Name
Amanda Davenport, L.C.S.W.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
L.C.S.W.
Enumeration Date
Feb 20, 2017
Last Updated
Feb 20, 2017

Practice Location

Address
102 MAIN ST
Address 2
SUITE 217
State
Georgia
ZIP Code
30240-3225
Phone
(706) 668-5035

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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