Individual
MR. DOUGLAS HERMAN GOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1500 WELLINGTON CRES, FARIBAULT, MN 55021-6731
(507) 333-5708
Mailing address
1500 WELLINGTON CRES, FARIBAULT, MN 55021-6731
(507) 333-5708
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
807
MN
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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