Individual
SHAWNETTER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5988 NW 27TH WAY, JENNINGS, FL 32053-2512
(386) 855-2257
Mailing address
5988 NW 27TH WAY, JENNINGS, FL 32053-2512
(386) 855-2257
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
82992
FL
251E00000X
Home Health Agency
—
—
Other
Enumeration date
04/30/2014
Last updated
02/28/2022
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