Individual
MR. JAMES M GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, MSW, LCSW
Contact information
Practice address
220 OFFICE PLZ, TALLAHASSEE, FL 32301-2808
(850) 877-0205
(850) 877-1129
Mailing address
220 OFFICE PLZ, TALLAHASSEE, FL 32301-2808
(850) 877-0205
(850) 877-1129
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SW4770
FL
Other
Enumeration date
07/26/2005
Last updated
02/25/2019
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