Individual
LEE ANN GOEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
520 S 9TH ST, RICHMOND, IN 47374-6230
(765) 935-5390
Mailing address
520 S 9TH ST, RICHMOND, IN 47374-6230
(765) 935-5390
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
I.2304843
OH
1041C0700X
Clinical Social Worker
Primary
34010821A
IN
Other
Enumeration date
03/10/2018
Last updated
03/27/2024
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