Individual
LORI J GOODING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, MSOM
Contact information
Practice address
117 SHERMAN ST, WATERTOWN, NY 13601-3209
(315) 405-2323
Mailing address
PO BOX 533, WATERTOWN, NY 13601-0533
(315) 405-2323
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
R055161-1
NY
171100000X
Acupuncturist
Primary
003378-1
NY
Other
Enumeration date
01/19/2007
Last updated
11/04/2020
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