SHELLEY D WALLACE
Mental Health at Atlantic Ave, Cocoa Beach, FL

License number
Florida 987
Issued Date
Jul 1, 1998
Effective Date
Jan 1, 1901
Expiration Date
Jan 31, 2001
Category
Health Care
Type
Registered Mental Health Counselor Intern
Address
Address
280 S Atlantic Ave #C, Cocoa Beach, FL 32931
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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