Individual
PATRICIA GAUDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 TAMIAMI TRL, SUITE 201, PORT CHARLOTTE, FL 33948-1078
(941) 249-4354
(941) 249-4356
Mailing address
1777 TAMIAMI TRL, SUITE 201, PORT CHARLOTTE, FL 33948-1078
(941) 249-4354
(941) 249-4356
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMH11806
FL
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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