Individual
MS. MARY LOUISE GOOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.M.F.T.
Contact information
Practice address
3133 HENNEPIN AVE, MINNEAPOLIS, MN 55408-2620
(612) 386-0016
Mailing address
3133 HENNEPIN AVE, MINNEAPOLIS, MN 55408-2620
(612) 386-0016
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0918
MN
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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