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NPI Code Detail

MEDICARE: CAROL H LIEBER LCSW, LLC

MEDICARE: CAROL H LIEBER LCSW, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1619362449
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROL H LIEBER LCSW, LLC
Provider Business Mailing Address
First Line : 14502 N DALE MABRY HWY
Second Line : SUITE 330
City : TAMPA
State : FL
Zip : 33618-2075
Country : US
Telephone Number : 813-968-9600
Fax Number : 813-436-5379
Provider Business Practice Location Address
First Line : 14502 N DALE MABRY HWY
Second Line : SUITE 330
City : TAMPA
State : FL
Zip : 33618-2043
Country : US
Telephone Number : 813-968-9600
Fax Number : 813-436-5379
Authorized Official
Title or Position : THERAPIST
Name : MRS. CAROL H LIEBER
Credential : LCSW
Telephone Number : 813-968-9600
Provider Enumeration Date : 03/30/2015
Last Update Date : 03/30/2015

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