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1487132239
MELISSA SHANNON QUILTY
ST AUGUSTINE, FL
NPI
1487132239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-08-03
Last Update Date
2018-08-03
Business Address
MELISSA SHANNON QUILTY
3574 US 1 S STE 102
ST AUGUSTINE, FL 32086-6467
Phone number: 904-217-7161
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Mailing Address
MELISSA SHANNON QUILTY
3574 US 1 S STE 102
ST AUGUSTINE, FL 32086-6467
Phone number: 904-217-7161
Copy
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