Individual
KASIIM SHAKIR BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 DR MARY MCLEOD BETHUNE BLVD, DAYTONA BEACH, FL 32114-3012
(407) 591-9502
Mailing address
4474 GOLDENRAIN CT, ORLANDO, FL 32808-1771
(407) 591-9502
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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