Individual
HOLLY GOHEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 VIRGINIA ST E, CHARLESTON, WV 25301-3011
(304) 412-1146
Mailing address
1333 VIRGINIA ST E, CHARLESTON, WV 25301-3011
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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