TA-TANISHA J DAVIS
Mental Health at 253 Ln, Raiford, FL

License number
Florida 11528
Issued Date
Aug 28, 2013
Effective Date
Mar 20, 2015
Expiration Date
Mar 31, 2022
Category
Health Care
Type
Registered Mental Health Counselor Intern
Address
Address 2
13554 NE 253Rd Ln, Raiford, FL 32083
7765 Dc-Reception & Medical Ctr, Lulu, FL 32054
Phone
(904) 769-3023
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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