Provider Demographics
NPI:1578186284
Name:SABBAGH DELISLE, TAMARA RUTH (MSW)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:RUTH
Last Name:SABBAGH DELISLE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 S PINE ISLAND RD STE 300
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2665
Mailing Address - Country:US
Mailing Address - Phone:954-471-8904
Mailing Address - Fax:
Practice Address - Street 1:150 S PINE ISLAND RD STE 300
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2665
Practice Address - Country:US
Practice Address - Phone:954-471-8904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-28
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical