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NPI 1578004966

NPI 1578004966 : BRITTANY RAE GOLD LCSW : NEW BRAUNFELS, TX

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General NPI Number Information
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    NPI Number           |    1578004966
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    Entity Type          |    Individual 
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    Provider Name        |    BRITTANY RAE GOLD LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/17/2017
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    2810 OAK RUN PKWY STE 400 
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    City                 |    NEW BRAUNFELS
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    State                |    TX
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    Zip                  |    78132-4763
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    Country              |    US
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    Telephone            |    512-994-1245
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    410 S HOUSTON AVE 
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    City                 |    NEW BRAUNFELS
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    State                |    TX
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    Zip                  |    78130-4326
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    Country              |    US
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    Telephone            |    512-557-9792
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    56549
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    License Number State |    TX
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