Individual
MS. GEORGINA GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 987-8218
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8998
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW21444
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW21444
STATE LICENSURE
CA
Enumeration date
10/11/2005
Last updated
10/28/2025
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