Individual
MRS. BRIELLE REBEKAH GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1100 LAKE HEARN DR STE 250&500, KAISER PERMANENTE SANDY SPRINGS MEDICAL OFFICE, SANDY SPRINGS, GA 30342-1523
(404) 845-4500
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005436
GA
Other
Enumeration date
06/23/2015
Last updated
01/10/2022
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