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Organization

IREDELL-STATESVILLE SCHOOLS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CASEY GOUGH SSP, MA, NCSP (SCHOOL PSYCHOLOGIST)
(980) 306-4962
Entity
Organization

Contact information

Practice address
549 N RACE ST, STATESVILLE, NC 28677-3915
(704) 873-9432
Mailing address
549 N RACE ST, STATESVILLE, NC 28677-3915

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
251300000X
Local Education Agency (LEA)

Other

Enumeration date
03/24/2026
Last updated
03/25/2026
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