Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | SW4951 | FL |
NPI | 1003024126 |
---|---|
Provider Name | Ms. Cathy Jeanne Price |
First Address | Crawfordville, FL 32327-5416 |
Second Address | Gainesville, FL 32608-1135 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 12/06/2017 |