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1205215654
ROBERT SHACKELFORD
JACKSONVILLE, FL
NPI
1205215654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: FL MT3360)
Enumeration Date
2015-05-19
Last Update Date
2022-07-21
Business Address
-- ROBERT SHACKELFORD
1100 CESERY BLVD
JACKSONVILLE, FL 32211-5674
Phone number: 904-333-7927
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Mailing Address
-- ROBERT SHACKELFORD
97346 BLUFF VIEW CIR
YULEE, FL 32097-1917
Phone number: 904-945-7867
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