Individual
MS. LEANNE C GOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-1396
(763) 257-0073
Mailing address
4717 OXBOROUGH GDNS, BROOKLYN PARK, MN 55443-3994
(763) 425-3636
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4081
MN
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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