Individual
MRS. ALISHA BURNSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13919 CARROLLWOOD VILLAGE RUN, TAMPA, FL 33618
(813) 285-8804
Mailing address
11808 LANCASHIRE DR, TAMPA, FL 33626-2636
(813) 285-8804
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 13739
FL
1041C0700X
Clinical Social Worker
SW13739
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW13739
LICENSE NUMBER
FL
Enumeration date
10/03/2016
Last updated
11/28/2018
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