Individual
GINGER GOUBEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
605 S PATTERSON BLVD, DAYTON, OH 45402-2649
(937) 395-4600
Mailing address
3524 GLASER DR, KETTERING, OH 45429-4112
(937) 603-5273
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0800710
OH
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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