Individual
DORIA ROSE GOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2334 W LAWRENCE AVE STE 201, CHICAGO, IL 60625-1046
(614) 323-2668
Mailing address
2334 W LAWRENCE AVE STE 201, CHICAGO, IL 60625-1046
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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