Individual
MRS. SHA'RON MCINTOSH DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 WESTHALL LN STE 207, MAITLAND, FL 32751
(800) 840-2528
(407) 540-9552
Mailing address
397 BRECKENRIDGE CIR SE, PALM BAY, FL 32909-2339
(321) 312-0509
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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