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1982932141
SHELLEY DEREU
PORT CHARLOTTE, FL
NPI
1982932141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW 7311)
Enumeration Date
2009-11-30
Last Update Date
2009-11-30
Business Address
-- SHELLEY DEREU LCSW
4161 TAMIAMI TRL SUITE 401
PORT CHARLOTTE, FL 33952-9204
Phone number: 239-980-4156
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Mailing Address
-- SHELLEY DEREU LCSW
4161 TAMIAMI TRL SUITE 401
PORT CHARLOTTE, FL 33952-9204
Phone number:
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