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Individual

AMBER DAVELINE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
3121 INNOVATION DR STE A, SAINT CLOUD, FL 34769-6501
(407) 922-4390
(407) 429-3977
Mailing address
3121 INNOVATION DR STE A, SAINT CLOUD, FL 34769-6501
(407) 922-4390
(407) 429-3977

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH9223
FL

Other

Enumeration date
10/18/2007
Last updated
03/17/2018
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