Individual
COURTNEY GOLUEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PC-IT
Contact information
Practice address
619 RIVER ST, BELLEVILLE, WI 53508
(608) 445-4288
(608) 424-9099
Mailing address
619 RIVER ST, BELLEVILLE, WI 53508-9188
(608) 445-4288
(608) 424-9099
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2771-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2771-226
PC-IT
WI
Enumeration date
06/02/2015
Last updated
06/28/2018
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