GLENDA L DAVENPORT

Dr GLENDA L DAVENPORT is a female medical professional, specializing in Clinical Social Worker. She graduated in 1983.

Contact

2625 KEYSTONE RD
SUITE A4
TARPON SPRINGS
FL
346887436

Tel: 7275608225

GLENDA L DAVENPORT Information

Npi 1639168297
Pac Id 9133268766
Professional Enrollment Id I20091120000223
Last Name DAVENPORT
First Name GLENDA
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1983
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 2625 KEYSTONE RD
Line 2 Street Address SUITE A4
Marker Of Address Line 2 Suppression
City TARPON SPRINGS
State FL
Zip Code 346887436
Phone Number 7275608225
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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