Individual
KELSIE RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
1109 E 139TH AVE, TAMPA, FL 33613-3420
(813) 972-3201
(813) 632-0933
Mailing address
1109 E 139TH AVE, TAMPA, FL 33613-3420
(813) 972-3201
(813) 632-0933
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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