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Organization
SHADES OF COLOR COUNSELING SERVICES LLC
Active
Organization
SHADES OF COLOR COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY ABBOTT (OWNER)
(850) 217-9435
Entity
Organization
Contact information
Practice address
648 OVERBROOK DR, FORT WALTON BEACH, FL 32547-3548
(850) 217-9435
Mailing address
648 OVERBROOK DR, FORT WALTON BEACH, FL 32547-3548
(850) 217-9435
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW15100
FL
Other
Enumeration date
08/11/2018
Last updated
08/11/2018
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