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Individual

ANIKA GOOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSSW, LCSW

Contact information

Practice address
118 OLD LAFAYETTE AVE STE 1, LEXINGTON, KY 40502
(859) 687-7007
(859) 687-7007
Mailing address
118 OLD LAFAYETTE AVE STE 1, LEXINGTON, KY 40502-1998
(859) 687-7007
(859) 687-7007

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253863
KY

Other

Enumeration date
11/08/2016
Last updated
09/10/2019
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