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1639458102
LYLE DAVIS
OAKLAND PARK, FL
NPI
1639458102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW 10453)
Enumeration Date
2011-08-15
Last Update Date
2011-08-15
Business Address
-- LYLE DAVIS LCSW
1620 W OAKLAND PARK BLVD STE 403
OAKLAND PARK, FL 33311-1533
Phone number: 954-298-8949
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Mailing Address
-- LYLE DAVIS LCSW
1524 ARGYLE DR
FORT LAUDERDALE, FL 33312-1542
Phone number: 954-298-8949
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