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1215629787
LISA KING
DAVENPORT, FL
NPI
1215629787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: FL MH22262)
Enumeration Date
2023-05-23
Last Update Date
2023-05-23
Business Address
LISA KING LMHC
311 SILVERTON RD
DAVENPORT, FL 33897-5677
Phone number: 612-889-7942
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Mailing Address
LISA KING LMHC
311 SILVERTON RD
DAVENPORT, FL 33897-5677
Phone number: 612-889-7942
Copy
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