DEMETRIUS DEWYANE WASHINGTON

ARCADIA, FL
NPI1164826194
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101Y00000X Counselor
(Licence: FL  101ym0800x)
Enumeration Date2014-10-20
Last Update Date2014-10-20
Business Address
Mr. DEMETRIUS DEWYANE WASHINGTON
324 N 13TH AVE 1901 BAKER STREET
ARCADIA, FL 34266-8922
Phone number: 863-244-2836
Mailing Address
Mr. DEMETRIUS DEWYANE WASHINGTON
324 N 13TH AVE 1901 BAKER STREET
ARCADIA, FL 34266-8922
Phone number: 863-244-2836