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1922684810
SHANE MICHAEL MCDONALD
ORLANDO, FL
NPI
1922684810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MH18922)
Enumeration Date
2021-03-22
Last Update Date
2021-03-22
Business Address
SHANE MICHAEL MCDONALD MS, LMHC
4700 MILLENIA BLVD STE 175
ORLANDO, FL 32839-6015
Phone number: 407-803-5261
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Mailing Address
SHANE MICHAEL MCDONALD MS, LMHC
1602 WHITEFRIAR DR
OCOEE, FL 34761
Phone number: 407-802-9011
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