Individual
LAKEISHA E GOSHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
215 FALCON DR, TROY, AL 36079-5916
(334) 482-2529
Mailing address
PO BOX 1251, TROY, AL 36081-1251
(334) 482-2529
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2442A
AL
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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