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1134147283
STEPHEN P. DAVIS
PORT ST LUCIE, FL
NPI
1134147283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY 5785)
Enumeration Date
2006-07-17
Last Update Date
2007-07-08
Business Address
Dr. STEPHEN P. DAVIS Ph.D.
2400 SE MIDPORT RD SUITE 211
PORT ST LUCIE, FL 34952-4823
Phone number: 772-398-1003
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Mailing Address
Dr. STEPHEN P. DAVIS Ph.D.
2400 SE MIDPORT RD SUITE 211
PORT ST LUCIE, FL 34952-4823
Phone number: 772-398-1003
Copy
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