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1669139127
SHAUN E LEYDON
PORT SAINT LUCIE, FL
NPI
1669139127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
101Y00000X Counselor
174400000X Specialist
Enumeration Date
2021-11-19
Last Update Date
2021-11-19
Business Address
MR. SHAUN E LEYDON
619 SW CYNTHIA ST
PORT SAINT LUCIE, FL 34983-8774
Phone number: 732-539-9256
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Mailing Address
MR. SHAUN E LEYDON
619 SW CYNTHIA ST
PORT SAINT LUCIE, FL 34983-8774
Phone number: 732-539-9256
Copy
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