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1326760265
ALICIA DYANE PELHAM
TAMPA, FL
NPI
1326760265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW20274)
Enumeration Date
2022-09-16
Last Update Date
2022-09-16
Business Address
ALICIA DYANE PELHAM LCSW
506 E VIRGINIA AVE
TAMPA, FL 33603-4826
Phone number: 813-442-3892
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Mailing Address
ALICIA DYANE PELHAM LCSW
506 E VIRGINIA AVE
TAMPA, FL 33603-4826
Phone number: 813-205-3885
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