Individual
LISETTE KOESSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, RCSWI
Contact information
Practice address
2240 TWELVE OAKS WAY STE 101, WESLEY CHAPEL, FL 33544-6970
(813) 279-1727
Mailing address
3303 N LAKEVIEW DR APT 1907, TAMPA, FL 33618-1324
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW20497
FL
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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