Individual
CHARISSE T REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12512 BRUCE B DOWNS BLVD, TAMPA, FL 33612-9209
(813) 693-2516
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
ISW13760
FL
1041C0700X
Clinical Social Worker
Primary
SW21485
FL
Other
Enumeration date
01/15/2020
Last updated
12/26/2023
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