Stacy Davenport
Stacy Davenport is a Case Manager/Care Coordinator in Twin Falls, Idaho. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
630 Addison Ave W Ste 1000Twin Falls, ID 83301-5853
Phone: (208) 736-5048
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1780399394 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 18, 2023 |
| Last updated in NPPES | January 18, 2023 |
| Certification date | January 18, 2023 |
| Mailing address | 630 Addison Ave W Ste 1000, Twin Falls, ID 83301-5853 |
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