Individual
MARY F GOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 814-8656
(314) 814-8542
Mailing address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 814-8656
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
R0526
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R0526
—
MO
Enumeration date
08/18/2011
Last updated
08/18/2011
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