Individual
SUSAN GOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1814 W GLEN OAKS LN, MEQUON, WI 53092-2902
(262) 243-5181
Mailing address
1814 W GLEN OAKS LN, MEQUON, WI 53092-2902
(262) 243-5181
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3761-154
WI
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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