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General NPI Number Information
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NPI Number | 1578091385
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Entity Type | Organization
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Legal Business Name | JILL SHELDON COUNSELING LLC
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Dates
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Enumeration Date | 05/24/2017
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 333 W WISCONSIN AVE
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City | DELAND
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State | FL
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Zip | 32720-4132
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Country | US
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Telephone | 386-337-4308
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Fax |
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Provider Business Mailing Address
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Address Line | 333 W WISCONSIN AVE
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City | DELAND
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State | FL
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Zip | 32720-4132
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Country | US
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Telephone | 386-337-4308
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | MS. JILL SHELDON
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Credential | LCSW
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Telephone | 386-337-4308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW12121
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License Number State | FL
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