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Katie L Davenport

Case Manager/Care Coordinator in Johnson City, TN. Individual provider (NPI-1).

NPI number1568898963
StatusActive
Last updated in NPPESJan 14, 2015

Details

NPI
1568898963
Entity type
Individual (NPI-1)
Name
Mrs. Katie L Davenport
Sex
Female
Sole proprietor
No
Enumeration date
Sep 18, 2013
Last updated
Jan 14, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

2700 S Roan St
Suite 425
Johnson City, TN 37601-7556

Phone 423-232-6281 · Fax 423-232-6282

Mailing address

2700 S Roan St
Suite 425
Johnson City, TN 37601-7556

Phone 423-232-6281 · Fax 423-232-6282

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