Individual
ERICA ANN DUPONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16546 N DALE MABRY HWY, TAMPA, FL 33618-1325
(813) 966-7064
Mailing address
16546 N DALE MABRY HWY, TAMPA, FL 33618-1325
(813) 966-7064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9125
FL
Other
Enumeration date
05/21/2008
Last updated
09/23/2008
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