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1649580275
SHARON RENEE WISE
FORT WALTON BEACH, FL
NPI
1649580275
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Former Name
SHARON RENEE SULLIVAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH7742)
Enumeration Date
2010-10-17
Last Update Date
2013-11-27
Business Address
Ms. SHARON RENEE WISE LMHC
44 SHELL AVENUE SE
FORT WALTON BEACH, FL 32548
Phone number: 850-398-5255
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Mailing Address
Ms. SHARON RENEE WISE LMHC
PO BOX 259
SHALLMAR, FL 32579
Phone number: 850-362-6824
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