Individual
MRS. TABITHA ANN DELAY-GROSSNICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
919 E 2ND ST, SANFORD, FL 32771-2101
(407) 323-2036
Mailing address
237 FERNWOOD BLVD, FERN PARK, FL 32730-2116
(407) 831-2411
(407) 831-0195
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/29/2008
Last updated
12/01/2016
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