Individual
JUSTIN SHANE MCBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3491 GANDY BLVD N, PINELLAS PARK, FL 33781-2658
(352) 942-9053
Mailing address
3491 GANDY BLVD N, PINELLAS PARK, FL 33781-2658
(352) 942-9053
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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