DOUGLAS MARK SHINE

SAINT JOHNS, FL
NPI1992821201
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW0001447)
Enumeration Date2007-03-21
Last Update Date2012-09-10
Business Address
Mr. DOUGLAS MARK SHINE L.C.S.W.
1705 DUCK WATER CT
SAINT JOHNS, FL 32259-5247
Phone number: 904-287-3122
Mailing Address
Mr. DOUGLAS MARK SHINE L.C.S.W.
1705 DUCK WATER CT
JACKSONVILLE, FL 32259-5247
Phone number: 904-287-3122