Individual
ANDREA GOUBEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
7031 CORPORATE WAY STE 103, CENTERVILLE, OH 45459-4262
(937) 619-9089
Mailing address
7031 CORPORATE WAY STE 103, CENTERVILLE, OH 45459-4262
(937) 619-9089
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.1501181
OH
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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