Individual
MISS LISE-MARIE HOMER-DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
292 S UNIVERSITY DR STE 292, PLANTATION, FL 33324-3308
(954) 579-4096
Mailing address
292 S UNIVERSITY DR STE 292, PLANTATION, FL 33324-3308
(954) 579-4096
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT4195
—
Other
Enumeration date
03/07/2018
Last updated
07/30/2024
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