Individual
LISA GOGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 E 142ND ST, DOLTON, IL 60419-1109
(708) 849-9848
Mailing address
401 SADDLE RUN LN, BEECHER, IL 60401-3723
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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