Individual
DEXTER DANIEL WILBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
13515 LAKE TERRACE LN, TAMPA, FL 33637-1003
(321) 243-3779
Mailing address
13515 LAKE TERRACE LN, TAMPA, FL 33637-1003
(321) 243-3779
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY12395
FL
Other
Enumeration date
07/07/2022
Last updated
11/06/2024
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