Individual
SHARON E WAIT OREILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1955 US 1 SOUTH, SUITE C-2, ST. AUGUSTINE, FL 32086-5786
(904) 209-6001
(904) 209-6002
Mailing address
1955 US 1 SOUTH, SUITE C-2, ST. AUGUSTINE, FL 32086-5786
(904) 209-6001
(904) 209-6002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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