WebbSHANTHALITTA WALLACE - (OWNER) Entity: Organization: Organization subpart 1: No Enumeration date: 04/29/2024: Last updated: 04/29/2024 - About 4 years ago: Identifiers: n/a 1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is ... WebbShanthalitta Wallace (OWNER) Authorized Official Contact: 8504960909: Accepts Medicare Insurance: This clinic does not participate in Medicare Program. Mailing Address and Practice Location. Mailing Address Practice Location Address; Ssw Counseling, Pllc 9617 Watershed Dr E Jacksonville FL 32220-0906
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WebbThe NPI Number for Shanthalitta Seals Wallace is 1659848539 and she holds a Licence No. MH15387 (Florida). Her current practice location address is 9617 Watershed Dr E, , Jacksonville, Florida and she can be reached out via phone at 860-496-0909 and via fax at --. WebbShanthalitta Seals Wallace is a resident of FL. Lookup the home address and phone 2514520138 and other contact details for this person Shanthalitta Seals Wallace is a … how many credits do i need for ccaf
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WebbAddress Current address 4207 Confederate Point Rd, Apt 11, Jacksonville, FL, 32210-5464 Residence since 2024 Home type Single Family Dwelling Unit Property value 12 000 USD Home ownership Home Owner Year built ads view year built Mobile Phone numbers (256) 861-6589 Associated with Sheneka Hamilton (2014) Seen 2024 (757) 323-8624 Webb29 okt. 2024 · Shanthalitta Wallace is a provider established in Jacksonville, Florida and her medical specialization is Counselor with a focus in mental health . The NPI number … WebbWallace Shanthalitta: Registered Agent Type: Person: Registered Agent Address : 9617 WATERSHED DR E, JACKSONVILLE, FL, 32220 : Key Management Personnel: The key management personnel for Ssw Counseling Pllc are listed below. The key management personnel include directors, officers, chairman, president etc. high school volunteer application