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1215043252
JAMES RUSSELL DAVIS
ORMOND BEACH, FL
NPI
1215043252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH4467)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
-- JAMES RUSSELL DAVIS LMHC
555 WEST GRANADA BLVD D-4
ORMOND BEACH, FL 32174-5100
Phone number: 386-677-9001
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Mailing Address
-- JAMES RUSSELL DAVIS LMHC
555 WEST GRANADA BLVD D-4
ORMOND BEACH, FL 32174-5100
Phone number: 386-677-9001
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