Gonzalez Camacho, Brenda

Gonzalez Camacho, Brenda is an sole proprietor health care provider with primary practice located at 22099 Elmira Blvd , Port Charlotte FL 33952-7018. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Technologists, Technicians & Other Technical Service Providers / Technician, Pathology. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gonzalez Camacho, Brenda can be contacted via phone (941) 613-1356.

Contact Information

Primary practice address
22099 Elmira Blvd Port Charlotte FL 33952-7018
Phone: (941) 613-1356
Fax: (941) 613-1591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW8837 Florida
Technologists, Technicians & Other Technical Service Providers / Technician, Pathology 246R00000X TN 36567 Florida

Profile Details

NPI number 1134399942
LBN Legal business name Gonzalez Camacho, Brenda
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2008
Last updated Sep 25th, 2015 - about 10 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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