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1003366337
LISA M DAVIS
BRADENTON, FL
NPI
1003366337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH4468)
Enumeration Date
2016-10-11
Last Update Date
2016-10-11
Business Address
-- LISA M DAVIS L.M.H.C., Ph.D.
351 6TH AVE W
BRADENTON, FL 34205-8820
Phone number: 941-737-8897
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Mailing Address
-- LISA M DAVIS L.M.H.C., Ph.D.
351 6TH AVE W
BRADENTON, FL 34205-8820
Phone number: 941-737-8897
Copy
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