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1063994937
SHANNON ELIZABETH WISELEY
FORT MYERS, FL
NPI
1063994937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL 16026)
Enumeration Date
2018-09-06
Last Update Date
2018-09-06
Business Address
SHANNON ELIZABETH WISELEY LMHC
8280 COLLEGE PKWY STE 103
FORT MYERS, FL 33919-5122
Phone number: 239-225-2180
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Mailing Address
SHANNON ELIZABETH WISELEY LMHC
1454 PARK SHORE CIR APT 2
FORT MYERS, FL 33901-9621
Phone number: 517-398-3230
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