Individual
MRS. ALTOVISE L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
627 CAROLYN DR, LAKELAND, FL 33803-4856
(863) 944-1795
Mailing address
627 CAROLYN DR, LAKELAND, FL 33803-4856
(863) 944-1795
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/13/2019
Last updated
10/13/2019
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