Individual
ANDREA L GOERKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 N TUCSON BLVD, TUCSON, AZ 85716-1039
(520) 323-0885
Mailing address
3700 N TUCSON BLVD, TUCSON, AZ 85716-1039
(520) 323-0885
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
5818
AZ
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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