ANDRE SHANKS

TAMPA, FL
NPI1528437670
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-09-18
Last Update Date2015-09-18
Business Address
-- ANDRE SHANKS BS
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8069
Mailing Address
-- ANDRE SHANKS BS
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8069