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1700609344
EDISA SHIRLEY
JACKSONVILLE, FL
NPI
1700609344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH17531)
Enumeration Date
2024-11-04
Last Update Date
2024-11-04
Business Address
EDISA SHIRLEY PhD, LMHC
538 CANDLEBARK DR
JACKSONVILLE, FL 32225-5358
Phone number: 904-294-7041
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Mailing Address
EDISA SHIRLEY PhD, LMHC
538 CANDLEBARK DR
JACKSONVILLE, FL 32225-5358
Phone number: 904-294-7041
Copy
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