Individual
MRS. TARA DELACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
5520 W IDLEWILD AVE, TAMPA, FL 33634-8015
(813) 901-3439
(813) 882-3689
Mailing address
5520 W IDLEWILD AVE, TAMPA, FL 33634-8015
(813) 901-3439
(813) 882-3689
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002248900
—
FL
Enumeration date
08/11/2010
Last updated
08/11/2010
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