Individual
PAUL GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 WISCONSIN AVE, RACINE, WI 53403-1978
(262) 687-2380
Mailing address
1320 WISCONSIN AVE, RACINE, WI 53403-1978
(262) 687-2380
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7240
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11013500
—
WI
Enumeration date
03/26/2007
Last updated
02/17/2009
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