Gough, Cecile
Gough, Cecile is an individual health care provider with primary practice located at 934 N Water St , Wichita KS 67203-3838. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Gough, Cecile can be contacted via phone (316) 660-7525.Contact Information
Primary practice address
934 N Water St
Wichita KS 67203-3838
Phone: (316) 660-7525
Fax: (316) 383-4590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 793 | Kansas |
Profile Details
| NPI number | 1093752453 |
|---|---|
| LBN Legal business name | Gough, Cecile |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093752453 | NPPES |
| Kansas | Other | 389913 | BLUE CROSS BLUE SHIELD |
| Kansas | Other | 9431 | BLUE CROSS BLUE SHIELD |
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