Individual
TAMARA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
209 N WILLOW AVE, TAMPA, FL 33606-1333
(813) 247-5433
(813) 247-5433
Mailing address
PO BOX 4772, TAMPA, FL 33677-4772
(813) 247-5433
(813) 241-4297
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW3700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ISW3700
SOCIAL WORK INTERN
FL
Enumeration date
12/20/2006
Last updated
07/09/2007
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