Gary, Raquel Vanessa

Gary, Raquel Vanessa is an sole proprietor health care provider with primary practice located at 1061 Harmon Ave Building 311, Fort Stewart GA 31314-5641. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gary, Raquel Vanessa can be contacted via phone (912) 435-6779.

Contact Information

Primary practice address
1061 Harmon Ave Building 311 Fort Stewart GA 31314-5641
Phone: (912) 435-6779
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 069473 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8817 South Carolina
Behavioral Health & Social Service Providers / Social Worker 104100000X MSW004199 Georgia

Profile Details

NPI number 1962596601
LBN Legal business name Gary, Raquel Vanessa
Credentials LISW CP, LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Mar 23rd, 2010 - about 16 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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