Raven Fisk
Raven Fisk is a Clinical Social Worker in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2025.
- Licensed in
- FL
- In the registry since
- 2025
Practice location Address checks out
4115 W Spruce St Ste 205Tampa, FL 33607-2485
Phone: (239) 999-1029
Fax: (617) 807-0958
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence ISW20961 (FL) |
|---|
Record details
| NPI number | 1205713369 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | August 20, 2025 |
| Last updated in NPPES | August 20, 2025 |
| Certification date | August 20, 2025 |
| Mailing address | Po Box 748465, Atlanta, GA 30374-8465 |
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