Sara Charles Goguen
Clinical Social Worker
2125 Southend Dr Suite 452
Charlotte
, North Carolina 28203-5301
Sara Charles Goguen
Clinical Social Worker
2125 Southend Dr Suite 452
Charlotte
, North Carolina 28203-5301
(704) 378-1392
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Sara Charles Goguen
- 7702 Surreywood Pl
- Charlotte, NC
- Zip : 28270-2157
- Fax : (704) 378-1392
- Phone : (704) 378-1390
Second Address
- Sara Charles Goguen
- 2125 Southend Dr Suite 452
- Charlotte, NC
- Zip : 28203-5301
- Fax : (704) 378-1392
- Phone : (704) 378-1390
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | C007672 | NC |
National Provider Identifier
| NPI | 1003173659 |
|---|---|
| Provider Name | Sara Charles Goguen |
| First Address | Charlotte, NC 28270-2157 |
| Second Address | Charlotte, NC 28203-5301 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/04/2012 |
| Last Update Date | 25/06/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.