Individual
MS. ANGELA GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6801 ROOSEVELT BLVD, JACKSONVILLE, FL 32212-1192
(999) 999-9999
Mailing address
6801 ROOSEVELT BLVD, JACKSONVILLE, FL 32212-1192
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14615
LA
Other
Enumeration date
07/22/2024
Last updated
10/07/2025
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