Individual
DAVID SHOOTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
140 SOUTH BEACH, DAYTONA BEACH, FL 32114-4385
(386) 747-2331
Mailing address
140 S BEACH ST, DAYTONA BEACH, FL 32114-4472
(386) 747-2331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW6973
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764418300
—
FL
Enumeration date
02/26/2007
Last updated
11/15/2017
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