Individual
LORIE GOESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, COTA, CSAC
Contact information
Practice address
2448 S 102ND ST STE 340, SUITE 3, MILWAUKEE, WI 53227-2147
(414) 329-2500
(414) 329-2501
Mailing address
727 LORILLARD CT APT 212, MADISON, WI 53703-3949
(608) 215-9114
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1169
WI
224Z00000X
Occupational Therapy Assistant
607-27
WI
Other
Enumeration date
04/24/2006
Last updated
07/16/2019
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