Individual
MISS SHAVONDRA RENEE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 N OLD COACHMAN RD APT C8, CLEARWATER, FL 33765-2325
(918) 640-8291
Mailing address
730 N OLD COACHMAN RD APT C8, CLEARWATER, FL 33765-2325
(918) 640-8291
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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