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Organization
LISA BENTIVENGA LCSW P LLC
Active
Organization
LISA BENTIVENGA LCSW P LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BENTIVENGA LCSW (LSCW)
(813) 505-1949
Entity
Organization
Contact information
Practice address
322 W BEARSS AVE, TAMPA, FL 33613-1228
(813) 505-1949
(813) 651-5465
Mailing address
4010 HARBOR LAKE DR, LUTZ, FL 33558-9731
(813) 505-1949
(813) 651-5465
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW11270
FL
Other
Enumeration date
07/13/2016
Last updated
04/17/2017
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