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Individual

MS. JESSICA LEIGHANNE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
555 STOCKTON ST, JACKSONVILLE, FL 32204-2534
(904) 387-4661
(904) 361-5005
Mailing address
13712 FISH EAGLE DR W, JACKSONVILLE, FL 32226-5002
(850) 812-9252

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/20/2022
Last updated
07/20/2022
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