Individual
TERRI LYN GOGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1012 7TH AVE, HUNTINGTON, WV 25701-2391
(304) 696-4673
Mailing address
1012 7TH AVE, HUNTINGTON, WV 25701-2391
(304) 696-4673
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00945008
WV
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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