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1124452172
SHANE THOMAS MOONEY
SANFORD, FL
NPI
1124452172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW13832)
Enumeration Date
2013-08-27
Last Update Date
2017-02-07
Business Address
-- SHANE THOMAS MOONEY LCSW
919 E 2ND ST
SANFORD, FL 32771-2101
Phone number: 407-321-4357
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Mailing Address
-- SHANE THOMAS MOONEY LCSW
919 E 2ND ST
SANFORD, FL 32771-2101
Phone number: 407-321-4357
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