Individual
MS. SUSAN L GOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11705 GRAVOIS RD, SAINT LOUIS, MO 63127-1803
(314) 842-9777
Mailing address
9860 BAYWOOD TER, SAINT LOUIS, MO 63126-3452
(314) 849-9796
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2004023155
MO
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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