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1568422533
WALLACE SCOTT SHEARON
ORMOND BEACH, FL
NPI
1568422533
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Other Name
SCOTT W SHEARON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MT1767)
Enumeration Date
2006-03-24
Last Update Date
2019-12-16
Business Address
Mr. WALLACE SCOTT SHEARON LMFT
565 MEMORIAL CIR
ORMOND BEACH, FL 32174-5001
Phone number: 386-310-8766
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Mailing Address
Mr. WALLACE SCOTT SHEARON LMFT
565 MEMORIAL CIR
ORMOND BEACH, FL 32174-5001
Phone number: 386-310-8766
Copy
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