Provider Information for 1205981032
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SHERRI KINCADE LMHC
Sex: Female
NPI: 1205981032
Last Updated: 2018-03-02
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1205981032 | ||||||||
| Enumeration Date | 2007-01-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4422 E COLUMBUS DR TAMPA, FL 33605-3233 United States Phone: 813-384-4113 | Fax:813-987-2899 | ||||||||
| Primary Practice Address | 4422 E COLUMBUS DR TAMPA, FL 33605-3233 United States Phone: 813-384-4113 | Fax:813-987-2899 | ||||||||
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