Individual
JOHANNA EVELYN GOOSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
7300 147TH ST W STE 600, APPLE VALLEY, MN 55124-7850
(952) 997-3020
Mailing address
7300 147TH ST W STE 600, APPLE VALLEY, MN 55124-7850
(952) 997-3020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
17392
MN
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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