Individual
MR. BRAD GOEBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8007 LYNDON CENTRE WAY, SUITE # 101, LOUISVILLE, KY 40222
(502) 690-8024
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7054
KY
1041C0700X
Clinical Social Worker
Primary
252481
KY
Other
Enumeration date
07/29/2014
Last updated
05/31/2019
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