Individual
MR. ANTONIO JAVAUN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
1469 NW 36TH STREET, MIAMI, FL 33142
(305) 635-6378
Mailing address
1469 NW 36TH ST, MIAMI, FL 33142-5557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/07/2017
Last updated
10/16/2017
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