Individual
ANN GABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1615 VILLAGE SQUARE BLVD, SUITE 4, TALLAHASSEE, FL 32309
(850) 894-6626
(850) 765-8329
Mailing address
1312 OLD VILLAGE RD, TALLAHASSEE, FL 32312-3919
(850) 894-6626
(850) 765-8329
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW5247
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323030000
—
FL
01
—
BLUE CROSS/BLUE SHIE
BCBS PROVIDER NUMBER
FL
Enumeration date
10/13/2005
Last updated
09/15/2017
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