| Gwen Kotler Lcsw | |
|
570 Memorial Cir Ste 150 Ormond Beach FL 32174-5062 | |
| (386) 334-8430 | |
| Not Available |
| Full Name | Gwen Kotler Lcsw |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 570 Memorial Cir Ste 150, Ormond Beach, Florida |
| Authorized Official Name and Position | Gwen Kotler (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3863348430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gwen Kotler Lcsw 27 Black Pine Way Ormond Beach FL 32174-1863 Ph: () - | Gwen Kotler Lcsw 570 Memorial Cir Ste 150 Ormond Beach FL 32174-5062 Ph: (386) 334-8430 |
| NPI Number | 1780821611 |
|---|---|
| Provider Enumeration Date | 01/14/2009 |
| Last Update Date | 01/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780821611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW7398 (Florida) | Primary |
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