Individual
BRYAN SAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, RCSWI
Contact information
Practice address
3825 HENDERSON BLVD, SUITE 304, TAMPA, FL 33629-5037
(813) 409-4651
Mailing address
PO BOX 1392, PORT RICHEY, FL 34673-1392
(727) 481-1961
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW-7657
FL
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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