Individual
AMELIA GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4530 DECATUR CIR, MELBOURNE, FL 32934-7281
(813) 309-0328
Mailing address
4530 DECATUR CIR, MELBOURNE, FL 32934-7281
(813) 309-0328
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
SW20027
FL
Other
Enumeration date
09/26/2018
Last updated
10/13/2022
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