Individual
MRS. COLLEEN SHAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, BCD
Contact information
Practice address
102 LAKESHORE DR STE B, SAINT MARYS, GA 31558-3875
(502) 552-8185
(912) 882-3303
Mailing address
85055 CHERRY CREEK DR, FERNANDINA BEACH, FL 32034-3779
(502) 552-8185
(912) 882-3303
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW13534
FL
Other
Enumeration date
09/03/2008
Last updated
04/17/2020
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