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Individual

ERIN O SHEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2120 SARNO RD, SUITE 4, MELBOURNE, FL 32935-3084
(321) 241-6868
Mailing address
P.O. BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
SW15043
FL

Other

Enumeration date
06/10/2014
Last updated
10/05/2017
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