Mr. Herbert Taylor Tisdale III, SOCIALWORKER
Mr. Herbert Taylor Tisdale III, SOCIALWORKER is a Clinical Social Worker in Ruskin, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2023
Practice location Address checks out
2814 14th Ave SERuskin, FL 33570-5471
Phone: (813) 653-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence SW20228 (FL) |
|---|
Record details
| NPI number | 1306559380 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SOCIALWORKER |
| Sole proprietor | Yes |
| NPI enumerated | January 4, 2023 |
| Last updated in NPPES | January 4, 2023 |
| Certification date | January 4, 2023 |
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