Individual
SUSAN G GOBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11430 KESTREL CT, EVANSVILLE, IN 47725-9796
(812) 454-8481
Mailing address
11430 KESTREL CT, EVANSVILLE, IN 47725-9796
(812) 454-8481
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/30/2018
Last updated
09/30/2018
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