Gangwish, Vickie Sue

Gangwish, Vickie Sue is an individual health care provider with primary practice located at 1037 Pathfinder Way Suite130, Rockledge FL 32955-3242. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gangwish, Vickie Sue can be contacted via phone (321) 639-1224.

Contact Information

Primary practice address
1037 Pathfinder Way Suite130 Rockledge FL 32955-3242
Fax: (321) 639-1194
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1275776759
LBN Legal business name Gangwish, Vickie Sue
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2009
Last updated Apr 13th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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