Individual
KATHY GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 E LAKE ST, ADDISON, IL 60101-2886
(312) 600-5057
Mailing address
1114 DEMOCRACY DR, HAINES CITY, FL 33844-6431
(407) 457-7297
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116339
IL
1041C0700X
Clinical Social Worker
ISW21643
FL
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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