Individual
MRS. LAURA MARY DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMHC-I
Contact information
Practice address
15318 PALOMAPARK LN, LITHIA, FL 33547-4812
(813) 648-2569
Mailing address
15318 PALOMAPARK LN, LITHIA, FL 33547-4812
(813) 648-2569
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
IMH24188
FL
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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