Individual
CHRISTINE THOMAS COSSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 SOMDG-SGHQ, 113 LIELMANIS AVE., HURLBURT FIELD, FL 32544
(850) 428-6374
Mailing address
1 SOMDG-SGHQ, 113 LIELMANIS AVE., HURLBURT FIELDD, FL 32544
(850) 428-6374
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23764
FL
1041C0700X
Clinical Social Worker
65213
TX
Other
Enumeration date
09/10/2021
Last updated
04/16/2025
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