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Individual
TRISHA S GOETZ
Active
Individual
TRISHA S GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CACIII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACC.0006038
CO
1041C0700X
Clinical Social Worker
Primary
CSW.00992613
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65306058
—
CO
Enumeration date
03/15/2007
Last updated
07/29/2016
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