Individual
MRS. ELIZABETH T. GOTWALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LCSW,ACSW,QCSW
Contact information
Practice address
214 PEACH ORCHARD ROAD, MC CONNELLSBURG, PA 17233
(717) 485-6120
(717) 485-6106
Mailing address
214 PEACH ORCHARD ROAD, MC CONNELLSBURG, PA 17233
(717) 485-6120
(717) 485-6106
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW013617
PA
1041C0700X
Clinical Social Worker
CWO13617
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018117730001
—
PA
05
—
0018117730004
—
PA
Enumeration date
11/30/2005
Last updated
08/10/2010
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