Individual
MS. JENE GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C, CCTP
Contact information
Practice address
1401 MERCANTILE LN STE 485, LARGO, MD 20774-4301
(301) 615-1911
Mailing address
1401 MERCANTILE LN STE 485, LARGO, MD 20774-4301
(301) 615-1911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20126
MD
Other
Enumeration date
07/15/2014
Last updated
08/13/2019
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