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1578801726
AUDRA COLLEEN DAVIS
TAMPA, FL
NPI
1578801726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-01-23
Last Update Date
2024-08-29
Business Address
AUDRA COLLEEN DAVIS
2108 W FORE DR
TAMPA, FL 33612-5005
Phone number: 813-932-5619
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Mailing Address
AUDRA COLLEEN DAVIS
2108 W FORE DR
TAMPA, FL 33612-5005
Phone number:
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