Provider Demographics
NPI:1134315385
Name:FINLEY, GWENDOLYN ALTHEA (MSW)
Entity type:Individual
Prefix:MRS
First Name:GWENDOLYN
Middle Name:ALTHEA
Last Name:FINLEY
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 1:419 PONDEROSA DR
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-2568
Mailing Address - Country:US
Mailing Address - Phone:254-768-0518
Mailing Address - Fax:
Practice Address - Street 1:419 PONDEROSA DR
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-2568
Practice Address - Country:US
Practice Address - Phone:254-768-0518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50062104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker