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1801143532
JELISSA DEVON CONWAY
DAYTONA BEACH, FL
NPI
1801143532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-08-13
Last Update Date
2012-08-28
Business Address
-- JELISSA DEVON CONWAY M.S.
160 N BEACH ST
DAYTONA BEACH, FL 32114-3314
Phone number: 386-944-4707
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Mailing Address
-- JELISSA DEVON CONWAY M.S.
160 N BEACH ST
DAYTONA BEACH, FL 32114-3314
Phone number: 386-944-4707
Copy
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