MR. Herbert Taylor Tisdale III, SOCIAL WORKER

NPI #1306559380 in Ruskin, Florida

Provider Information

NPI Number: 1306559380
Entity Type: Individual
Name: MR. Herbert Taylor Tisdale III, SOCIAL WORKER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: SOCIAL WORKER
Enumeration Date: Jan 4, 2023
Last Updated: Jan 4, 2023

Practice Location

Address: 2814 14TH AVE SE
City: Ruskin
State: Florida
ZIP Code: 33570-5471
Phone: (813) 653-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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