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1023628807
BRIAN SHEA
DELAND, FL
NPI
1023628807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW13450)
Enumeration Date
2020-08-05
Last Update Date
2020-08-05
Business Address
BRIAN SHEA LCSW
940 WOODSITE DR
DELAND, FL 32720-3660
Phone number: 386-279-0408
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Mailing Address
BRIAN SHEA LCSW
940 WOODSITE DR
DELAND, FL 32720-3660
Phone number: 386-279-0408
Copy
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