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Carlisia Shepherd
Mental Health Counselor in Wimauma, Florida
NPI 1417488537

Carlisia Shepherd is a Mental Health Counselor based in Wimauma, FL and is specialized in Mental Health. Carlisia Shepherd practices in Wimauma, FL. The NPI Number for Carlisia Shepherd is 1417488537 and holds a License No. 1326311085 (Florida).

The current practice location address for Carlisia Shepherd is 10874 Standing Stone Dr, Wimauma, FL and can be reached out via phone at 813-356-9020.

Location: 10874 Standing Stone Dr, Wimauma, FL, 33598-6161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417488537
Provider Name
Carlisia Shepherd
Credential
Provider Entity Type
Individual
Gender
Female
Address
10874 Standing Stone Dr, Wimauma, FL, 33598-6161
Phone Number
813-356-9020
Fax Number
Provider Enumeration Date
03/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10874 Standing Stone Dr
City
Wimauma
State
Florida
Zip
33598-6161
Phone Number
813-356-9020
Fax Number
person
Provider Business Mailing Address Details
Address
10874 Standing Stone Dr
City
Wimauma
State
Florida
Zip
33598-6161
Phone Number
813-356-9020
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
1326311085 (Florida)
Definition
Definition to come...
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