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Individual

MRS. ROXANNE DAVIS PRATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC, LMHC, MPH

Contact information

Practice address
7313 MERCHANT CT, SUITE L, LAKEWOOD RANCH, FL 34240-8437
(941) 350-3009
(678) 426-6620
Mailing address
7313 MERCHANT CT, SUITE L, LAKEWOOD RANCH, FL 34240-8437
(941) 350-3009
(678) 426-6620

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0125261
NM
101YP2500X
Professional Counselor
LH 60421233
WA
101YP2500X
Professional Counselor
LPC003112
GA
101YP2500X
Professional Counselor
Primary
MH 13545
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
59988771
NM
Enumeration date
04/10/2007
Last updated
01/06/2016
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