Individual
MRS. ANN EVANS GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
417 WEST 4TH AVENUE, ALBANY, GA 31701
(122) 944-6900
(229) 446-0404
Mailing address
2010 ACKER DRIVE, ALBANY, GA 31707
(122) 944-6900
(122) 944-6040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW002783
GA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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