Individual
MRS. CYNTHIA ANN SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 333-1609
Mailing address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 333-1609
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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