Individual
MISS SUSAN RACHEL GOINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUPPORT COORDINATOR
Contact information
Practice address
961 COCONUT DR, NORTH FORT MYERS, FL 33903-4201
(239) 362-5802
(239) 288-2499
Mailing address
961 COCONUT DR, NORTH FORT MYERS, FL 33903-4201
(239) 362-5802
(239) 288-2499
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
017672800
FL
Other
Enumeration date
10/16/2021
Last updated
10/16/2021
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