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Organization
RADICALLY OPEN DBT TAMPA
Active
Organization
RADICALLY OPEN DBT TAMPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI A ISON-LUSTBERG LCSW (OWNER)
(813) 602-2312
Entity
Organization
Contact information
Practice address
1341 WINDSOR WAY, LUTZ, FL 33559-6742
(813) 602-2312
(813) 336-8506
Mailing address
2751 EAST COUNTY LINE RD, PMB #300, LUTZ, FL 33559-3439
(813) 602-2312
(813) 302-1173
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/19/2020
Last updated
12/28/2024
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