Individual
EMILIE SUKIJBUMRUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2005 PAN AM CIR STE 120, TAMPA, FL 33607-2529
(813) 434-0037
Mailing address
1016 E HAMILTON AVE, TAMPA, FL 33604-4325
(813) 943-5708
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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