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Individual

MR. JASON A. GOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D - LCSW

Contact information

Practice address
43 TAMARACK CIR, SKILLMAN, NJ 08558-2019
(609) 356-0034
(609) 356-0034
Mailing address
28 ACADEMY ST, PRINCETON, NJ 08540-9589
(609) 356-0034
(609) 356-0034

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
085639
NJ
104100000X
Social Worker
Primary
44SC04880900
NJ

Other

Enumeration date
09/16/2006
Last updated
08/07/2007
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