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Individual
MR. FRANK JACQUES VAN GOETHEM
Active
Individual
MR. FRANK JACQUES VAN GOETHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLP, LMSW
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301007535
MI
1041C0700X
Clinical Social Worker
Primary
6801067854
MI
Other
Enumeration date
07/25/2013
Last updated
11/04/2019
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