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:
Health care specialties
| Specialty | Code | License # | 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 15 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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