Individual
SHANI D ASHCROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20274 CENTRAL AVE W, BLOUNTSTOWN, FL 32424-1957
(850) 674-4888
Mailing address
20274 CENTRAL AVE W, BLOUNTSTOWN, FL 32424-1957
(850) 674-4888
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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