Individual
SHAUNTAVIA CLINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 MICCOSUKEE COMMONS DR, TALLAHASSEE, FL 32308-5433
(850) 219-4234
Mailing address
2006 E PARK AVE, TALLAHASSEE, FL 32301-2862
(850) 212-4315
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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