Individual
STEPHANIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
819 SW 57TH TER, GAINESVILLE, FL 32607-3878
(305) 331-6542
Mailing address
819 SW 57TH TER, GAINESVILLE, FL 32607-3878
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS1112
FL
Other
Enumeration date
04/02/2017
Last updated
04/02/2017
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