Individual
MS. ANNA TINGLE GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1401 20TH ST S, BIRMINGHAM, AL 35205-4913
(205) 510-2761
(205) 510-2790
Mailing address
1401 20TH ST S, BIRMINGHAM, AL 35205-4913
(205) 510-2761
(205) 510-2790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
329040
ALLKIDS - UBH
AL
01
—
51532597
BLUE CROSS BLUE SHIELD
AL
01
—
51535579
BCBS FEDERAL EMP. PROGRAM
AL
Enumeration date
05/31/2006
Last updated
07/08/2007
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