AMY D DERSTINE
Mental Health at Black Willow Trl, Deland, FL

License number
Florida 3325
Issued Date
Oct 2, 2001
Effective Date
Jun 3, 2004
Expiration Date
Mar 31, 2005
Category
Health Care
Type
Registered Mental Health Counselor Intern
Address
Address 2
3441 Black Willow Trl, Deland, FL 32724
2400 S Ridgewood Ave SUITE 32, Daytona Beach, FL 32119
Phone
(386) 736-6641
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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