Kaiya Shannon LCSW

NPI 1790917987 - Social Worker - 1041C0700X

NPI Details
NPI 1790917987
Gender Female
Enumeration Date 08/20/2009
Last Updated 08/20/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
6075 BATHEY LN
NAPLES FL, 34116-7536, US
Phone (239) 455-8500
Fax (239) 455-6561
Business Location
6075 BATHEY LN
NAPLES FL, 34116-7536, US
Phone (239) 455-8500
Fax (239) 455-6561
Toxanomy
Taxonomy Code 1041C0700X
License State Florida
License Number SW 9520
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According to our database, Kaiya Shannon LCSW NPI is 1790917987, taxonomy code is 1041C0700X and license number is SW 9520, license state is located at Florida. Kaiya Shannon LCSW physically located at 6075 Bathey Ln, Naples FL, 34116-7536. NPI Number Kaiya Shannon LCSW has the Individual type.

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1790917987 NPI number is provided on an as is basis without warranty of any kind. 1790917987 is maintained by the National Plan & Provider Enumeration System. The contents of Kaiya Shannon LCSW are for informational purposes only.