Organization
LANTERN RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GOGGINS LCSW LISAC CSAC ICS (OWNER CLINICIAN)
(262) 765-0119
Entity
Organization
Contact information
Practice address
17445 W EAGLE CT, GOODYEAR, AZ 85338-3019
(262) 765-0119
Mailing address
17445 W EAGLE CT, GOODYEAR, AZ 85338-3019
(262) 765-0119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/14/2025
Last updated
06/14/2025
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