Bradshaw-Mims, Wilma Mae

Bradshaw-Mims, Wilma Mae is an individual health care provider with primary practice located at 200 Avenue F Ne , Winter Haven FL 33881-4131. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bradshaw-Mims, Wilma Mae can be contacted via phone (863) 293-1121.

Contact Information

Primary practice address
200 Avenue F Ne Winter Haven FL 33881-4131
Phone: (863) 293-1121
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 8554 Florida

Profile Details

NPI number 1659594349
LBN Legal business name Bradshaw-Mims, Wilma Mae
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Jun 22nd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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