Individual
HALEY GOETHALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1411 LINCOLNWAY W, MISHAWAKA, IN 46544-1626
(574) 968-9660
(574) 246-0171
Mailing address
315 W JEFFERSON BLVD, SOUTH BEND, IN 46601-1512
(574) 968-9660
(574) 246-0171
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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