Individual
COURTNEY GOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5331 PRIMROSE LAKE CIR STE 209, TAMPA, FL 33647-3751
(727) 871-7665
Mailing address
3825 HENDERSON BLVD STE 405, TAMPA, FL 33629-5012
(813) 445-3099
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
19160
FL
Other
Enumeration date
05/20/2020
Last updated
10/04/2023
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