Shannon Wildman
Shannon Wildman is a Social Worker in Melbourne, Florida. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
326 Croton RdMelbourne, FL 32935-6340
Phone: (321) 752-3170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1902164726 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 30, 2012 |
| Last updated in NPPES | April 30, 2012 |
| Mailing address | 326 Croton Rd, Melbourne, FL 32935-6340 |
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