Individual
STACY BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13801 N DALE MABRY HWY, TAMPA, FL 33618-2412
(813) 515-9602
Mailing address
901 W WEST ST, TAMPA, FL 33602-1139
(813) 966-7912
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
23436
FL
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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