Individual
FARRAH BALTHAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(305) 772-5819
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW7235
FL
1041C0700X
Clinical Social Worker
Primary
SW14421
FL
Other
Enumeration date
05/23/2014
Last updated
04/28/2026
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