Shantasia R Pack

NPI #1447996905 in Trenton, Florida

Provider Information

NPI Number: 1447996905
Entity Type: Individual
Name: Shantasia R Pack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 9, 2022
Last Updated: May 9, 2022

Practice Location

Address: 728 NE 7TH ST
City: Trenton
State: Florida
ZIP Code: 32693-3637
Phone: (352) 374-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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