Organization
GRETCHEN WHITE LCSW, LLC
Active
Organization
GRETCHEN WHITE LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN G WHITE LCSW, PHD, LLC (MGRM)
(860) 435-1411
Entity
Organization
Contact information
Practice address
928 S TAMIAMI TRL, OSPREY, FL 34229-9218
(860) 435-1411
Mailing address
759 PINE RUN DR, OSPREY, FL 34229-9544
(860) 435-1411
(850) 926-7500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW11113
FL
Other
Enumeration date
12/30/2016
Last updated
01/16/2017
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