Kotler, Gwen H
Kotler, Gwen H is an sole proprietor health care provider with primary practice located at 533 N Nova Rd Suite 203, Ormond Beach FL 32174-4447. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kotler, Gwen H can be contacted via phone (386) 334-8430.Contact Information
Primary practice address
533 N Nova Rd Suite 203
Ormond Beach FL 32174-4447
Phone: (386) 334-8430
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW 7398 | Florida |
Profile Details
| NPI number | 1144424334 |
|---|---|
| LBN Legal business name | Kotler, Gwen H |
| Credentials | MSW,LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Sep 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144424334 | NPPES |
| Florida | Other | SW 7398 | LICENSED SOCIAL WORKER |
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