WANDA SHAVON PHIPPS

PUNTA GORDA, FL
NPI1508521261
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies171W00000X Contractor
Enumeration Date2021-11-07
Last Update Date2021-11-08
Business Address
WANDA SHAVON PHIPPS MSP
26371 BARRANQUILLA AVE
PUNTA GORDA, FL 33983-5723
Phone number: 941-380-8957
Mailing Address
WANDA SHAVON PHIPPS MSP
26371 BARRANQUILLA AVE
PUNTA GORDA, FL 33983-5723
Phone number: 941-380-8957