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Individual

BIONCA GOULD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1812 W ALABAMA AVE, APT. E 22, RUSTON, LA 71270-8839
(412) 728-5107
Mailing address
1812 W ALABAMA AVE, APT. E 22, RUSTON, LA 71270-8839

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/12/2016
Last updated
09/12/2016
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