Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003060245 |
---|---|
Provider Name | Charlotte H Gonnering |
First Address | Tampa, FL 33607-1785 |
Second Address | Tampa, FL 33607-1785 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2008 |
Last Update Date | 16/06/2014 |