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
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