Individual
SHANIKA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 NW 14TH ST RM 1213, MIAMI, FL 33136-2107
(305) 243-6660
Mailing address
1120 NW 14TH ST RM 1213, MIAMI, FL 33136-2107
(305) 243-6660
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767908400
—
FL
Enumeration date
01/03/2007
Last updated
09/16/2019
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