Bohl, Gordon George

Bohl, Gordon George is an individual health care provider with primary practice located at 8241 S Us 1 , Port St Lucie FL 34952. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bohl, Gordon George can be contacted via phone (772) 878-9368.

Contact Information

Primary practice address
8241 S Us 1 Port St Lucie FL 34952
Phone: (772) 878-9368
Fax: (772) 878-9378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW3235 Florida

Profile Details

NPI number 1215024229
LBN Legal business name Bohl, Gordon George
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 8th, 2007 - about 18 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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