Individual
ALICIA DYANE PELHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
506 E VIRGINIA AVE, TAMPA, FL 33603-4826
(813) 442-3892
Mailing address
506 E VIRGINIA AVE, TAMPA, FL 33603-4826
(813) 205-3885
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW20274
FL
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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