Individual
SHANYS HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 N DIXIE HWY, POMPANO BEACH, FL 33060-5621
(954) 785-8285
Mailing address
817 N DIXIE HWY, POMPANO BEACH, FL 33060-5621
(954) 785-8285
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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