| Brenda Gonzalez Camacho Lcsw | |
|
22099 Elmira Blvd Port Charlotte FL 33952-7018 | |
| (941) 613-1356 | |
| (941) 613-1591 |
| Full Name | Brenda Gonzalez Camacho Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 22099 Elmira Blvd, Port Charlotte, Florida |
| Authorized Official Name and Position | Brenda Gonzalez Camacho (PRESIDENT) |
| Authorized Official Contact | 9416131356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Gonzalez Camacho Lcsw 22099 Elmira Blvd Port Charlotte FL 33952-7018 Ph: (941) 613-1356 | Brenda Gonzalez Camacho Lcsw 22099 Elmira Blvd Port Charlotte FL 33952-7018 Ph: (941) 613-1356 |
| NPI Number | 1871034025 |
|---|---|
| Provider Enumeration Date | 03/20/2017 |
| Last Update Date | 03/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871034025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW8837 (Florida) | Primary |
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