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1790917987
KAIYA SHANNON
FORT MYERS, FL
NPI
1790917987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW 9520)
Enumeration Date
2009-08-20
Last Update Date
2020-12-02
Business Address
KAIYA SHANNON LCSW
15901 BASS RD STE 108
FORT MYERS, FL 33908-3838
Phone number: 239-343-6050
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Mailing Address
KAIYA SHANNON LCSW
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-6050
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