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Individual
MARY GOGGINS
Active
Individual
MARY GOGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
155268
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
15722-131
WI
1041C0700X
Clinical Social Worker
19455
AZ
1041C0700X
Clinical Social Worker
44SC06202100
NJ
1041C0700X
Clinical Social Worker
680114469
MI
1041C0700X
Clinical Social Worker
7947-123
WI
1041C0700X
Clinical Social Worker
CSW09928838
CO
1041C0700X
Clinical Social Worker
SW20949
FL
Other
Enumeration date
10/31/2012
Last updated
09/01/2026
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