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1275527533
MICHAEL E. FISHBACK
TAMPA, FL
NPI
1275527533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW 5302)
Enumeration Date
2005-09-01
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL E. FISHBACK LCSW
8415 BAYSHORE BLVD
TAMPA, FL 33621-1607
Phone number: 813-827-9172
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Mailing Address
Mr. MICHAEL E. FISHBACK LCSW
2916 W MARLIN AVE
TAMPA, FL 33611-3813
Phone number: 813-805-7172
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