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Individual

SUSAN GOGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1909 COMMERCE AVE, CULLMAN, AL 35055-6151
(256) 734-4688
(256) 736-5638
Mailing address
580 POWELL CHAPEL RD, FALKVILLE, AL 35622-6219
(256) 739-9354

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0709G
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51505176
BCBS
AL
Enumeration date
06/15/2006
Last updated
07/08/2007
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