ALLISON L IWATA
Mental Health at 649 St, Old Town, FL

License number
Florida 10268
Issued Date
Jul 26, 2012
Effective Date
Apr 22, 2015
Expiration Date
Mar 31, 2013
Category
Health Care
Type
Registered Mental Health Counselor Intern
Address
Address
421 NE 649Th St, Old Town, FL 32680
Phone
(208) 240-4794