Davenport, Wilma Mae

Davenport, Wilma Mae is an individual health care provider with primary practice located at Sidney & Lamont St. , Mountain Home TN 37684. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davenport, Wilma Mae can be contacted via phone (423) 979-2613.

Contact Information

Primary practice address
Sidney & Lamont St. Mountain Home TN 37684
Phone: (423) 979-2613
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004766 North Carolina

Profile Details

NPI number 1265544399
LBN Legal business name Davenport, Wilma Mae
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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