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Dawn
Dawn
Ellicott clin...
Licensed marriage and family the...
Ocoee, United States
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Florida Health Care Practitioner Data Portal
Full name
Dawn Ellicott Clinkscale
Job Title
Licensed Marriage and Family Therapist
Location
Ocoee, FL, USA
LIC ID
4436
Current License Expiration Date
31/03/2025
Original Date
03/08/2018
Professional Rank Code
MT
Effective Date
03/08/2018
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ORANGE
Mailing Address Line 2
APT #102
Practice Location Address Line 1
671 Plantation Key Circle
Practice Location Address Line 2
APT #102
Practice Location Address City
OCOEE
Practice Location Address State
FL
Practice Location Address Zipcode
34761
Mode Code
Qualified Supervisor MHC, Qualified Supervisor MFT
Prescribing Indicator
N
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