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1306559380
HERBERT TAYLOR TISDALE
RUSKIN, FL
NPI
1306559380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW20228)
Enumeration Date
2023-01-04
Last Update Date
2023-01-04
Business Address
Mr. HERBERT TAYLOR TISDALE Social Worker
2814 14TH AVE SE
RUSKIN, FL 33570-5471
Phone number: 813-653-6100
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Mailing Address
Mr. HERBERT TAYLOR TISDALE Social Worker
7609 PARADISO DR
APOLLO BEACH, FL 33572-1644
Phone number: 251-455-4745
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