Individual
JAMES SALVATORE DEMAURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
16120 N FLORIDA AVE, LUTZ, FL 33549-6129
(813) 961-1010
(813) 961-1388
Mailing address
1318 W LAMBRIGHT ST, TAMPA, FL 33604-6424
(813) 569-0732
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW6224
FL
1041C0700X
Clinical Social Worker
SW6224
FL
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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