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1811034929
MELISSA LEE GOULD
TRAVIS AFB, CA
NPI
1811034929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 1022493)
Enumeration Date
2007-01-30
Last Update Date
2009-10-08
Business Address
Miss MELISSA LEE GOULD MSW
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-3886
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Mailing Address
Miss MELISSA LEE GOULD MSW
60 MEDICAL GROUP 101 BODIN CIRCLE
TRAVIS AFB, CA 94535-1800
Phone number: 707-423-3886
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