Individual
MRS. SHANA RUNNELS PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1661 WILSON PRAIRIE CIR, GROVELAND, FL 34736-3685
(407) 496-7931
Mailing address
1661 WILSON PRAIRIE CIR, GROVELAND, FL 34736-3685
(407) 496-7931
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/20/2013
Last updated
01/11/2023
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