Provider Information for 1295877751
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SHANA WILLIAMS-LEARY LCSW
Sex: Female
NPI: 1295877751
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1295877751 | ||||||||
| Enumeration Date | 2007-02-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 400 E SHERIDAN RD MELBOURNE, FL 32901-3122 United States Phone: 321-722-5263 | Fax: | ||||||||
| Primary Practice Address | 400 E SHERIDAN RD MELBOURNE, FL 32901-3122 United States Phone: 321-722-5263 | Fax: | ||||||||
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