Individual
SHAWN K GOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 PEGER ROAD, FAIRBANKS, AK 99709
(907) 371-1300
Mailing address
1423 PEGER RD, FAIRBANKS, AK 99709-5169
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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