Individual
ANN MARIE GOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 KESSEL CT STE 105, MADISON, WI 53711-6227
(608) 280-2700
Mailing address
25 KESSEL CT STE 105, MADISON, WI 53711-6227
(608) 280-2700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
130539-121
WI
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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