Individual
SHANNON AVERY TANGUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
2800 W OAKLAND PARK BLVD, SUITE 303, OAKLAND PARK, FL 33311-1370
(954) 598-0617
Mailing address
4612 N 56TH ST, TAMPA, FL 33610-7123
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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