Individual
SHAINA MARIE GOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1579 S FOLSOMVILLE RD, BOONVILLE, IN 47601-9465
(812) 639-9410
Mailing address
19518 N COUNTY ROAD 600 E, DALE, IN 47523-9568
(812) 639-9410
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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