Organization
MGW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON L SCHULMAN PH.D. (VP)
(904) 436-6032
Entity
Organization
Contact information
Practice address
350 PASEO REYES DR, ST AUGUSTINE, FL 32095-8464
(904) 777-8777
(904) 777-8700
Mailing address
350 PASEO REYES DR, ST AUGUSTINE, FL 32095-8464
(904) 777-8777
(904) 777-8700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6360
FL
Other
Enumeration date
04/25/2008
Last updated
03/03/2009
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