Individual
MR. HIRAM GLENN GOOCH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSSW
Contact information
Practice address
1101 OPAL CT, HAGERSTOWN, MD 21740-5941
(301) 665-1462
(301) 665-1682
Mailing address
751 BERKELEY STATION RD, MARTINSBURG, WV 25401-7040
(304) 263-5531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CPE0938475
WV
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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