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1215283577
DAVITA MARIE JEFFERSON
VESTAVIA, AL
NPI
1215283577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AL 2947)
Enumeration Date
2012-07-24
Last Update Date
2012-11-20
Business Address
Ms. DAVITA MARIE JEFFERSON LPC, NCC
4268 CAHABA HEIGHTS CT SUITE#117
VESTAVIA, AL 35243-5711
Phone number: 205-529-3934
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Mailing Address
Ms. DAVITA MARIE JEFFERSON LPC, NCC
965 41ST ST W
BIRMINGHAM, AL 35208-1001
Phone number: 205-529-3934
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