Provider Information for 1235424540
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Mr. JEREMIAH TRAPP LCSW
Sex: Male
NPI: 1235424540
Last Updated: 2022-06-22
Certification Date: 2022-06-22
Certification Date: 2022-06-22
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1235424540 | ||||||||
| Enumeration Date | 2011-06-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3250 ZEMKE AVE TAMPA, FL 33621-5023 United States Phone: 813-827-9548 | Fax: | ||||||||
| Primary Practice Address | 3250 ZEMKE AVE TAMPA, FL 33621-5023 United States Phone: 813-827-9548 | Fax: | ||||||||
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