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Individual
MS. SHELLEY JO GOLD
Active
Individual
MS. SHELLEY JO GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S00972
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S00972
TX
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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