SALLY T MATTIACCIO-DETABLAN
Mental Health at Lanvale Ave, Daytona Beach, FL

License number
Florida 2315
Issued Date
Apr 6, 2000
Effective Date
Apr 15, 2003
Expiration Date
Jan 31, 2001
Category
Health Care
Type
Registered Mental Health Counselor Intern
Address
Address
309 S Lanvale Ave, Daytona Beach, FL 32114