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1164182135
SHANE WILSON
MIAMI, FL
NPI
1164182135
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Professional Name
SHANE WILSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH20043)
Enumeration Date
2021-12-17
Last Update Date
2021-12-17
Business Address
SHANE WILSON MS, LMHC
7777 SW 86 ST BLDG F1 APT 212
MIAMI, FL 33143
Phone number: 786-444-1735
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Mailing Address
SHANE WILSON MS, LMHC
7777 SW 86 ST BLDG F1 APT 212
MIAMI, FL 33143
Phone number: 786-444-1735
Copy
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