Individual
ANGELA GOUDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14041 ICOT BLVD, CLEARWATER, FL 33760-3702
(727) 450-7269
(727) 479-1248
Mailing address
14041 ICOT BLVD, CLEARWATER, FL 33760-3702
(727) 450-7269
(727) 479-1248
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9385
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW9385
DEPARTMENT OF HEALTH
FL
Enumeration date
03/19/2012
Last updated
03/19/2012
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