Individual
MRS. WASSAN COOK GOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
(913) 758-4149
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(469) 435-9129
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5075
KS
1041C0700X
Clinical Social Worker
4112
KS
1041C0700X
Clinical Social Worker
Primary
63821
TX
Other
Enumeration date
10/21/2008
Last updated
12/18/2024
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