Doctor Name: | GINA T CARLTON |
NPI Number: | 1245370915 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CSW003715 |
Business Practice Address: | 655 7th St Bldg 700/700-a Robins Afb, GA - 310982227 |
Business Phone Number: | 4787375090 |
Business Fax Number: | |
Mailing Address: | 655 7th St, Bldg 700/700-a ROBINS AFB |
State: | GA |
Postal Code: | 310982227 |
Phone Number: | 4787375090 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 04/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW003715 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |