Individual
MS. GWEN JEAN PACELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2463 DEMERE RD STE 209, ST SIMONS ISLAND, GA 31522-5638
(912) 580-0100
Mailing address
2463 DEMERE RD STE 209, ST SIMONS ISLAND, GA 31522-5638
(912) 580-0100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW008554
GA
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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