Individual
FANNY CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
501 N REO ST STE 102, TAMPA, FL 33609-1012
(888) 666-3089
Mailing address
104 E LAMBRIGHT ST, TAMPA, FL 33604-6143
(206) 226-5057
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW16332
FL
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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