Provider Demographics
NPI:1851093819
Name:GOSA, TONISHA DELSHONDA
Entity Type:Individual
Prefix:
First Name:TONISHA
Middle Name:DELSHONDA
Last Name:GOSA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 N WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-3222
Mailing Address - Country:US
Mailing Address - Phone:848-219-4355
Mailing Address - Fax:
Practice Address - Street 1:1200 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-3222
Practice Address - Country:US
Practice Address - Phone:848-219-4355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker