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Individual
MRS. LAUREN MICHELSEN GOETZ
Active
Individual
MRS. LAUREN MICHELSEN GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I.2103110
OH
104100000X
Social Worker
S 0901073
OH
1041C0700X
Clinical Social Worker
Primary
I.2103110-SUPV
OH
Other
Enumeration date
12/04/2013
Last updated
08/02/2024
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