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Organization
LISA M. DAVIS, LLC
Active
Organization
LISA M. DAVIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA M DAVIS PH. D., LMHC (MANAGING MEMBER)
(941) 737-8897
Entity
Organization
Contact information
Practice address
351 6TH AVE W, BRADENTON, FL 34205-8820
(941) 737-8897
Mailing address
351 6TH AVE W, BRADENTON, FL 34205-8820
(941) 737-8897
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH4468
FL
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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