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Individual

MRS. STEPHANIE C DAVIS

Active
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Individual

MRS. STEPHANIE C DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH4800
FL
101YM0800X
Mental Health Counselor
MH 9432
FL
101YP2500X
Professional Counselor
Primary
2011010451
MO

Other

Enumeration date
06/06/2007
Last updated
06/24/2011
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