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Organization
MELISSA L GOULD LLC
Active
Organization
MELISSA L GOULD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA L GOULD (LCSW-S)
(757) 310-8077
Entity
Organization
Contact information
Practice address
205 E UNIVERSITY AVE STE 151, GEORGETOWN, TX 78626-6817
(757) 310-8077
Mailing address
205 E UNIVERSITY AVE STE 151, GEORGETOWN, TX 78626-6817
(757) 310-8077
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041C0700X
—
TX
Enumeration date
10/22/2019
Last updated
10/22/2019
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