Individual
TIMOTHY WANYE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRD
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(321) 397-6092
Mailing address
9228 CARDINAL MEADOW TRAIL, ORLANDO, FL 32827
(727) 742-5121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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