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1568497857
MARK DANIEL DAVIS
TAMPA, FL
NPI
1568497857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW3987)
Enumeration Date
2006-07-12
Last Update Date
2007-07-08
Business Address
-- MARK DANIEL DAVIS LCSW
3820 NORTHDALE BLVD 312B
TAMPA, FL 33624
Phone number: 813-968-3417
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Mailing Address
-- MARK DANIEL DAVIS LCSW
3820 NORTHDALE BLVD 312B
TAMPA, FL 33624
Phone number: 813-968-3417
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