Individual
MRS. CAROL ANN GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW/LCSW
Contact information
Practice address
1413 FULTON ST, BROOKLYN, NY 11216-2607
(718) 636-4500
(718) 636-2998
Mailing address
1413 FULTON ST, BROOKLYN, NY 11216-2607
(718) 636-4500
(718) 636-2998
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
026298R
NY
1041C0700X
Clinical Social Worker
44SC00267800
NJ
Other
Enumeration date
07/28/2006
Last updated
02/15/2012
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