SHASTA MARIE DORISCA

CAPE CORAL, FL
NPI1457915621
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW14201)
Enumeration Date2019-04-23
Last Update Date2019-04-23
Business Address
Mrs. SHASTA MARIE DORISCA LCSW
2489 DIPLOMAT PKWY E
CAPE CORAL, FL 33909-5422
Phone number: 239-652-1800
Mailing Address
Mrs. SHASTA MARIE DORISCA LCSW
1421 NW 10TH AVE
CAPE CORAL, FL 33993-6026
Phone number: 239-281-9934
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