Individual
ELLEN ELIZABETH DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 827-9172
Mailing address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 827-9172
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C7854
MS
1041C0700X
Clinical Social Worker
Primary
SW9840
FL
Other
Enumeration date
05/28/2010
Last updated
04/13/2018
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