Individual
MR. WILLIAM LEE GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1401 20TH ST S, BIRMINGHAM, AL 35205-4913
(205) 510-2761
(205) 510-2790
Mailing address
1401 20TH ST S, BIRMINGHAM, AL 35205-4913
(205) 510-2761
(205) 510-2790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1361C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51516719
BLUE CROSS BLUE SHIELD
AL
01
—
51521558
BLUE CROSS BLUE SHIELD
AL
01
—
6264827
ALL KIDS INS. (UBH)
AL
01
—
9101407
AETNA
AL
Enumeration date
05/18/2006
Last updated
09/14/2011
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