Goetz, Katherine Gardner
Goetz, Katherine Gardner is an individual health care provider with primary practice located at 200 Lakewood Blvd , Park Forest IL 60466-1718. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goetz, Katherine Gardner can be contacted via phone (708) 481-9799.Contact Information
Primary practice address
200 Lakewood Blvd
Park Forest IL 60466-1718
Phone: (708) 481-9799
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Illinois |
Profile Details
| NPI number | 1043370208 |
|---|---|
| LBN Legal business name | Goetz, Katherine Gardner |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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