Individual
ASHLEY L GOFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1661 HAMS RD, SPOONER, WI 54801-9138
(715) 635-7204
Mailing address
203 UNITED WAY, FREDERIC, WI 54837-8938
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
163828-130
WI
1041C0700X
Clinical Social Worker
Primary
128291-121
WI
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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