| Gretchen White Lcsw, Llc | |
|
928 S Tamiami Trl Osprey FL 34229-9218 | |
| (860) 435-1411 | |
| Not Available |
| Full Name | Gretchen White Lcsw, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 928 S Tamiami Trl, Osprey, Florida |
| Authorized Official Name and Position | Gretchen G White (MGRM) |
| Authorized Official Contact | 8604351411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gretchen White Lcsw, Llc 759 Pine Run Dr Osprey FL 34229-9544 Ph: (860) 435-1411 | Gretchen White Lcsw, Llc 928 S Tamiami Trl Osprey FL 34229-9218 Ph: (860) 435-1411 |
| NPI Number | 1952846859 |
|---|---|
| Provider Enumeration Date | 12/30/2016 |
| Last Update Date | 01/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952846859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW11113 (Florida) | Primary |
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