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Susan G Goben

Developmental Therapist in Evansville, IN. Individual provider (NPI-1).

NPI number1669957239
StatusActive
Last updated in NPPESSep 30, 2018

Details

NPI
1669957239
Entity type
Individual (NPI-1)
Name
Susan G Goben
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 30, 2018
Last updated
Sep 30, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

11430 Kestrel Ct
Evansville, IN 47725-9796

Phone 812-454-8481

Mailing address

11430 Kestrel Ct
Evansville, IN 47725-9796

Phone 812-454-8481

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