Individual
MS. DIANA ALEXANDRA PHILLPOTTS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
(813) 910-3067
Mailing address
3312 W SAN JUAN ST, TAMPA, FL 33629-8006
(813) 839-3803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 5031
FL
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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