Most Relevant Information
Provider Data
| NPI Number: | 1003064858 |
| Provider Name: | SHANNON RAE PIPPIN |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/05/2008 |
| Last Updated: | 08/29/2014 |
Provider Practice Location
5512 37TH AVE E
BRADENTON
FL
342086825
Practice Location Phone/Fax
| Phone: | 3522096884 |
| Fax: |
Provider Mailing Location
5512 37TH AVE E
BRADENTON
FL
342086825
Provider Mailing Phone/Fax
| Phone: | 3522096884 |
| Fax: | 9414875430 |