Individual
MR. IAN CREMISIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1315 E 7TH AVE, TAMPA, FL 33605-3605
(813) 232-3808
Mailing address
8375 MANATEE BAY DR, TAMPA, FL 33635-9504
(813) 546-4207
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13775
FL
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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