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Organization

PATRICIA L GILCHRIST LCSW PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATRICIA LEE GILCHRIST LCSW (OWNER)
(941) 276-5096
Entity
Organization

Contact information

Practice address
13294 COMMONWEALTH AVE, PORT CHARLOTTE, FL 33981-4316
(941) 276-5096
(941) 698-1045
Mailing address
13294 COMMONWEALTH AVE, PORT CHARLOTTE, FL 33981-4316
(941) 276-5096
(941) 698-1045

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW 4404
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
677288996
FL
Enumeration date
05/20/2008
Last updated
09/26/2008
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