Individual
MOLLY GOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3995 E MARKET ST, YORK, PA 17402-2773
(717) 757-1227
Mailing address
3995 E MARKET ST, YORK, PA 17402-2773
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW132029
PA
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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