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1265987416
GENICE COLLINS DAVIS
PLANT CITY, FL
NPI
1265987416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH13714)
Enumeration Date
2016-08-17
Last Update Date
2016-08-17
Business Address
-- GENICE COLLINS DAVIS
HEADS 100 E BAKER STREET #100
PLANT CITY, FL 33563
Phone number: 813-754-5555
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Mailing Address
-- GENICE COLLINS DAVIS
3244 MERLOT DRIVE
LAKELAND, FL 33811
Phone number: 863-614-7771
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