Provider Demographics
NPI:1275629354
Name:ZAGERS, GILLIAN TERESA (MSW)
Entity Type:Individual
Prefix:MS
First Name:GILLIAN
Middle Name:TERESA
Last Name:ZAGERS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 DIVINE CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-8141
Mailing Address - Country:US
Mailing Address - Phone:321-331-2140
Mailing Address - Fax:
Practice Address - Street 1:513 DIVINE CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-8141
Practice Address - Country:US
Practice Address - Phone:321-331-2140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW 3324104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker