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1659848539
SHANTHALITTA SEALS WALLACE
JACKSONVILLE, FL
NPI
1659848539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH15387)
Enumeration Date
2018-10-29
Last Update Date
2018-10-29
Business Address
SHANTHALITTA SEALS WALLACE LMHC
9617 WATERSHED DR E
JACKSONVILLE, FL 32220-0906
Phone number: 860-496-0909
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Mailing Address
SHANTHALITTA SEALS WALLACE LMHC
9617 WATERSHED DR E
JACKSONVILLE, FL 32220-0906
Phone number:
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