Individual
KIMBERLY GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCC, PSC
Contact information
Practice address
1 WILDCAT DR, NEW LONDON, OH 44851-9262
(419) 929-1586
Mailing address
193 1/2 W MAIN ST, NORWALK, OH 44857-1925
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E2114
OH
101YS0200X
School Counselor
OH1239462
OH
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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