Individual
SUSAN GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 E HENRY AVE, TAMPA, FL 33610-4432
(813) 239-1179
(813) 238-4605
Mailing address
2215 E HENRY AVE, TAMPA, FL 33610-4432
(813) 239-1179
(813) 238-4605
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766766300
—
FL
Enumeration date
04/28/2009
Last updated
04/28/2009
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