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1295461648
SHELLY FULFORD WILSON
FERNANDINA BEACH, FL
NPI
1295461648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW10273)
Enumeration Date
2022-07-28
Last Update Date
2022-07-28
Business Address
SHELLY FULFORD WILSON LCSW
2127 BLUE HERON CT
FERNANDINA BEACH, FL 32034-4475
Phone number: 904-206-1028
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Mailing Address
SHELLY FULFORD WILSON LCSW
2127 BLUE HERON CT
FERNANDINA BEACH, FL 32034-4475
Phone number: 904-206-1028
Copy
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