| Doctor Name: | KATHERINE S GONG |
| NPI Number: | 1376631135 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, DCSW |
| License Number: | SW 5450 |
| Business Practice Address: | 103400 Overseas Hwy Suite 201/202 Key Largo, FL - 330372834 |
| Business Phone Number: | 3053944006 |
| Business Fax Number: | 3054512816 |
| Mailing Address: | Po Box 371836, KEY LARGO |
| State: | FL |
| Postal Code: | 330371836 |
| Phone Number: | 3053944006 |
| Fax Number: | 3054512816 |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 05/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW 5450 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |