KAIYA SHANNON

FORT MYERS, FL
NPI1790917987
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW 9520)
Enumeration Date2009-08-20
Last Update Date2020-12-02
Business Address
KAIYA SHANNON LCSW
15901 BASS RD STE 108
FORT MYERS, FL 33908-3838
Phone number: 239-343-6050
Mailing Address
KAIYA SHANNON LCSW
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-6050