Individual
MARY SCANNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
322 4TH ST NW, WINTER HAVEN, FL 33881-4671
(863) 875-7959
(863) 875-7960
Mailing address
322 4TH ST NW, WINTER HAVEN, FL 33881-4671
(863) 875-7959
(863) 875-7960
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
376J00000X
Homemaker
Primary
233695
FL
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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