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1952939605
MALLORY DAVIS
TAMPA, FL
NPI
1952939605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH15585)
Enumeration Date
2020-03-30
Last Update Date
2020-03-30
Business Address
MALLORY DAVIS
3550 W WATERS AVE STE 102
TAMPA, FL 33614-2767
Phone number: 813-417-7963
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Mailing Address
MALLORY DAVIS
4774 TUSCAN LOON DR
TAMPA, FL 33619-0806
Phone number: 813-546-7046
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