Individual
MR. SHAWN RIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 TIMBERLACHEN CIR, SUITE 201, LAKE MARY, FL 32746-6124
(407) 796-1232
Mailing address
576 SILVERGATE LOOP, LAKE MARY, FL 32746-3742
(619) 302-8898
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT 1714
FL
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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