Individual
NICOLE M RASCHDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
6323 MEMORIAL HWY STE A, TAMPA, FL 33615-4509
(813) 891-9474
Mailing address
6323 MEMORIAL HWY STE A, TAMPA, FL 33615-4509
(813) 891-9474
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/10/2012
Last updated
09/25/2012
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