MR. Douglas Mark Shine, L.C.S.W.
NPI #1992821201 in Saint Johns, Florida
Provider Information
- NPI Number
- 1992821201
- Entity Type
- Individual
- Name
- MR. Douglas Mark Shine, L.C.S.W.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- L.C.S.W.
- Enumeration Date
- Mar 21, 2007
- Last Updated
- Sep 10, 2012
Practice Location
- Address
- 1705 DUCK WATER CT
- City
- Saint Johns
- State
- Florida
- ZIP Code
- 32259-5247
- Phone
- (904) 287-3122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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