Individual
DELISSA JENE RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3004 N 46TH ST, TAMPA, FL 33605-2427
(813) 363-0214
Mailing address
3004 N 46TH ST, TAMPA, FL 33605-2427
(813) 444-7864
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW11587
FL
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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