MEREDITH K FORMAN
Mental Health at Birman St, Maitland, FL

License number
Florida 4342
Issued Date
Aug 21, 2003
Effective Date
Mar 6, 2006
Expiration Date
Mar 31, 2007
Category
Health Care
Type
Registered Mental Health Counselor Intern
Address
Address 2
8028 Birman St, Maitland, FL 32751
601 W Michigan St, Orlando, FL 32806
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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