Individual
MS. BETH DAWN DAVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
540 E HORATIO AVE STE 200, MAITLAND, FL 32751-7314
(407) 907-2825
Mailing address
540 E HORATIO AVE STE 200, MAITLAND, FL 32751-7314
(407) 907-2825
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
114025
MA
1041C0700X
Clinical Social Worker
Primary
SW5646
FL
Other
Enumeration date
02/29/2016
Last updated
04/23/2020
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