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Individual

MS. AVA JOY GOTTLIEB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5068 W PLANO PKWY, SUITE 300, PLANO, TX 75093-4408
(972) 985-7600
(972) 381-4201
Mailing address
5068 W PLANO PKWY, SUITE 300, PLANO, TX 75093-4408
(972) 985-7600
(972) 381-4201

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
22716
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22716
LCSW
TX
Enumeration date
09/30/2013
Last updated
09/30/2013
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