Individual
MICHELLE L GWALTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PASTORAL CO
Contact information
Practice address
265 E MARION AVE UNIT 117A, PUNTA GORDA, FL 33950-3715
(404) 938-1469
Mailing address
265 E MARION AVE UNIT 117A, PUNTA GORDA, FL 33950-3715
(404) 938-1469
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
22374
FL
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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