ELIZABETH BURTY SHADDEN

JACKSONVILLE, FL
NPI1518910116
Other NameMARTHA ELIZABETH BURTY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH789)
Enumeration Date2006-05-18
Last Update Date2015-04-22
Business Address
Ms. ELIZABETH BURTY SHADDEN LMHC
655 W 8TH ST UFJP PSYCHIATRIC
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-3688
Mailing Address
Ms. ELIZABETH BURTY SHADDEN LMHC
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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