GEORGE WILEY SHORTER

LAKE CITY, FL
NPI1295770535
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: AL  1244)
Enumeration Date2006-06-19
Last Update Date2007-07-08
Business Address
-- GEORGE WILEY SHORTER Ph. D.
VAMC - UNIT 9 - 116B 619 S. MARION AVE
LAKE CITY, FL 32025
Phone number: 386-755-3016
Mailing Address
-- GEORGE WILEY SHORTER Ph. D.
2217 DELLWOOD AVE
JACKSONVILLE, FL 32204-3101
Phone number: 386-755-3016
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