Individual
LA SHAUNE JALEEN MCCOTTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12008 S SHORE BLVD STE 211, WELLINGTON, FL 33414-6396
(561) 223-1066
Mailing address
12008 S SHORE BLVD STE 211, WELLINGTON, FL 33414-6396
(561) 223-1066
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/11/2013
Last updated
03/10/2024
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