THEODORE JOHN LISWITH

TAMPA, FL
NPI1912628074
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW11966)
Enumeration Date2022-09-07
Last Update Date2022-09-07
Business Address
THEODORE JOHN LISWITH LCSW
1300 BRUCE B. DOWNS BLVD
TAMPA, FL 33612
Phone number: 813-394-1473
Mailing Address
THEODORE JOHN LISWITH LCSW
1300 BRUCE B. DOWNS BLVD SOCIAL WORK SERVICE MAIL CODE 122
TAMPA, FL 33612
Phone number: 813-394-1473
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