Individual
DR. VICTORIA MARIE GOTTFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LISW, PHD
Contact information
Practice address
513 MADISON AVE, COVINGTON, KY 41011-1562
(859) 331-3292
(859) 578-2864
Mailing address
502 FARRELL DR, COVINGTON, KY 41011-3717
(859) 578-3204
(859) 578-3273
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1500401
OH
1041C0700X
Clinical Social Worker
Primary
3929
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610661458
TAX ID
KY
Enumeration date
09/04/2015
Last updated
12/23/2015
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