Individual
MR. CHRISTOPHER ALAN GANTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RCSWI
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(727) 253-2506
Mailing address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(727) 398-6661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW 8401
FL
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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