Individual
GARY SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
205 HATTERAS AVE, STE 105, CLERMONT, FL 34711-6502
(352) 348-8858
(352) 708-5603
Mailing address
205 HATTERAS AVE, STE 105, CLERMONT, FL 34711-6502
(352) 348-8858
(352) 708-5603
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW 10874
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005939000
—
FL
Enumeration date
07/09/2012
Last updated
03/31/2017
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