Individual
SAMANTHA DICORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 239-8069
(813) 231-7324
Mailing address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 239-8069
(813) 231-7324
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
IMH23729
FL
Other
Enumeration date
03/20/2023
Last updated
03/21/2023
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