Organization
SPREADING YOUR WINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAMRYN MICHELLE RUSSELL LCSW (OWNER)
(727) 477-0864
Entity
Organization
Contact information
Practice address
3980 TAMPA RD STE 202, OLDSMAR, FL 34677-3223
(727) 477-0864
Mailing address
3980 TAMPA RD STE 202, OLDSMAR, FL 34677-3223
(727) 477-0864
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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