Individual
MISS SHANNON NATALIE MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
237 FERNWOOD BLVD, CASSELBERRY, FL 32730-2116
(407) 831-2411
Mailing address
237 FERNWOOD BLVD, CASSELBERRY, FL 32730-2116
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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