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Organization
SHILOH COUNSELING CENTER
Active
Organization
SHILOH COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANN LILLY WOOD M.S.W. (OWNER)
(850) 516-1202
Entity
Organization
Contact information
Practice address
8490 LA SALLE DR, MILTON, FL 32583-2439
(850) 516-1202
Mailing address
8490 LA SALLE DR, MILTON, FL 32583-2439
(850) 516-1202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10234
FL
Other
Enumeration date
05/31/2017
Last updated
06/08/2019
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