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1770135972
T. CONSWELLO DAVIS
HOLLYWOOD, FL
NPI
1770135972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL 18391)
Enumeration Date
2019-07-09
Last Update Date
2019-07-09
Business Address
T. CONSWELLO DAVIS
3911 HOLLYWOOD BLVD STE 2
HOLLYWOOD, FL 33021-6795
Phone number: 954-639-7345
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Mailing Address
T. CONSWELLO DAVIS
PO BOX 4223
FORT LAUDERDALE, FL 33338-4223
Phone number:
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