Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | I-0800128 | OH |
NPI | 1003067042 |
---|---|
Provider Name | Andrea L Goehring |
First Address | Columbus, OH 43220-2003 |
Second Address | Columbus, OH 43220-2003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2008 |
Last Update Date | 17/06/2010 |