Individual
MRS. GINA MARIE SARLI-SPISAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MAC
Contact information
Practice address
1061 HARMON AVE, STE. 1D03, FORT STEWART, GA 31314-5641
(912) 767-6089
(912) 767-5271
Mailing address
1061 HARMON AVE, STE. 1D03, FORT STEWART, GA 31314-5641
(912) 767-6089
(912) 767-5271
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW003525
GA
1041C0700X
Clinical Social Worker
I.0029798
OH
1041C0700X
Clinical Social Worker
Primary
SW13024
FL
Other
Enumeration date
02/16/2009
Last updated
05/04/2022
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