Organization
REBECCA THORNE STASCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA THORNE STASCH M.S.W. (OWNER)
(770) 235-2398
Entity
Organization
Contact information
Practice address
3825 HENDERSON BLVD STE 405, TAMPA, FL 33629-5012
(813) 803-0090
Mailing address
5002 W HOMER AVE, TAMPA, FL 33629-7521
(770) 235-2398
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW8882
FL
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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