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Individual

MR. BRIAN C. GOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
9730 S WESTERN AVE STE 335, EVERGREEN PARK, IL 60805-2759
(708) 535-7320
(708) 535-7571
Mailing address
3S159 PARK BLVD, GLEN ELLYN, IL 60137-7232
(630) 630-3020
(708) 636-8778

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.016750
IL

Other

Enumeration date
03/17/2012
Last updated
07/18/2024
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