Buettow, Gabrielle Ann

Buettow, Gabrielle Ann is an individual health care provider with primary practice located at 1201 1St St S , Winter Haven FL 33880-3904. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Buettow, Gabrielle Ann can be contacted via phone (863) 293-1121.

Contact Information

Primary practice address
1201 1St St S Winter Haven FL 33880-3904
Phone: (863) 293-1121
Fax: (863) 291-6084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW7287 Florida

Profile Details

NPI number 1255349106
LBN Legal business name Buettow, Gabrielle Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Sep 7th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255349106 NPPES
Florida MEDICAID 765796000

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