Individual
CHAWNTELLE MONIKE MORMAN-SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
20408 NW 29TH PL, MIAMI GARDENS, FL 33056-2020
(786) 506-5756
Mailing address
20408 NW 29TH PL, MIAMI GARDENS, FL 33056-2020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH16263
FL
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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