Individual
MRS. STEPHENI WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
2960 ROOSEVELT BLVD, CLEARWATER, FL 33760-1952
(727) 479-5701
Mailing address
718 LOUDEN AVE, DUNEDIN, FL 34698-7050
(716) 244-7482
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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