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Erica
Erica
Ailes
Provisional psychologist
Bradenton, United States
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Florida Health Care Practitioner Data Portal
Full name
Erica Ailes
Job Title
Provisional Psychologist
Location
Bradenton, FL, USA
LIC ID
496
Current License Expiration Date
31/01/2025
Original Date
01/02/2023
Professional Rank Code
PPY
Effective Date
01/02/2023
Board Action Indicator
N
License Status Description
CLEAR
Country Description
MANATEE
Mailing Address Line 2
Unit 137
Practice Location Address Line 1
5860 Ranch Lake Blvd
Practice Location Address City
LAKEWOOD RANCH
Practice Location Address State
FL
Practice Location Address Zipcode
34202
Prescribing Indicator
N
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