Individual
ANSLEY GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 DURHAM ST, WATKINSVILLE, GA 30677-2423
(706) 310-4103
Mailing address
122 E CLOVERHURST AVE APT B1, ATHENS, GA 30605-1241
(770) 827-6052
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003485
GA
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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