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Individual

ALAN S GOOCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
501 DARBY CREEK RD, SUITE #3, LEXINGTON, KY 40509-1604
(859) 263-2377
Mailing address
501 DARBY CREEK RD, SUITE #3, LEXINGTON, KY 40509-1604
(859) 263-2377

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3719
KY

Other

Enumeration date
12/29/2012
Last updated
12/29/2012
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