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Individual

CHERYL SUZANNNE WALSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFTT

Contact information

Practice address
533 N NOVA RD STE 204, ORMOND BEACH, FL 32174-4422
(386) 898-5003
Mailing address
1402 PORTOBELLO DRIVE, PORT ORANGE, FL 32127
(386) 566-3001

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
12/27/2018
Last updated
12/27/2018
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