Individual
SHANIQUA D BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4354 19TH ST N, ST PETERSBURG, FL 33714-4214
(813) 312-8244
Mailing address
4354 19TH ST N, ST PETERSBURG, FL 33714-4214
(813) 312-8244
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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