STACY DAVENPORT

Case Manager/Care Coordinator

Active Individual
NPI: 1780399394

Practice Address

630 ADDISON AVE W STE 1000
Twin Falls, ID 83301

Phone: (208) 736-5048

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1780399394 is the National Provider Identifier for STACY DAVENPORT, a Case Manager/Care Coordinator provider located in Twin Falls, ID. This NPI was enumerated on January 18, 2023.
STACY DAVENPORT practices at 630 ADDISON AVE W STE 1000, Twin Falls, ID 83301.

Quick Facts

NPI
1780399394
Type
Individual
Enumerated
Jan 18, 2023
Last Updated
Jan 18, 2023

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