Individual
MS. KEAUZSAE SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 272-2244
(813) 239-8394
Mailing address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 239-8069
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S
—
FL
Enumeration date
07/12/2018
Last updated
01/20/2023
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