Individual
EVA WIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
6370 24TH ST S, 385, ST PETERSBURG, FL 33712-5380
(518) 944-9745
Mailing address
6370 24TH ST S, 385, ST PETERSBURG, FL 33712-5380
(518) 944-9745
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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