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1629576897
JESSICA SHAFFER
DAYTONA BEACH, FL
NPI
1629576897
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Former Name
JESSICA KIDWELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-01-23
Last Update Date
2018-01-23
Business Address
JESSICA SHAFFER MA
1823 BUSINESS PARK BLVD
DAYTONA BEACH, FL 32114-1230
Phone number: 386-254-1931
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Mailing Address
JESSICA SHAFFER MA
509 MOUNT OLYMPUS BLVD
NEW SMYRNA BEACH, FL 32168-2413
Phone number:
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