Provider Demographics
NPI:1023150620
Name:GARIS, DORIS J (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:DORIS
Middle Name:J
Last Name:GARIS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2960 S MCCALL RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34224-7792
Mailing Address - Country:US
Mailing Address - Phone:941-473-3838
Mailing Address - Fax:
Practice Address - Street 1:2960 S MCCALL RD
Practice Address - Street 2:SUITE 105
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34224-7792
Practice Address - Country:US
Practice Address - Phone:941-473-3838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW35701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical