Individual
ELLA GRACE GOSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 GRAND CENTRAL BLVD STE 101, POOLER, GA 31322-4146
(912) 244-3305
Mailing address
156 OLD FORESTER WAY, STATESBORO, GA 30458-9292
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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