DAVENA SHABAZZ

ORLANDO, FL
NPI1801302112
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: FL  CBHCMS.0102557)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
(Licence: FL  CCM101450-A)
1041C0700X Social Worker, Clinical
(Licence: FL  ISW12173)
104100000X Social Worker
Enumeration Date2017-12-21
Last Update Date2022-10-16
Business Address
DAVENA SHABAZZ MSW, CBHCMS
2860 SAINT AUGUSTINE DR
ORLANDO, FL 32825-7140
Phone number: 407-470-3630
Mailing Address
DAVENA SHABAZZ MSW, CBHCMS
2860 SAINT AUGUSTINE DR
ORLANDO, FL 32825-7140
Phone number: 407-844-9676