Larry Gooch MSW LCSW

NPI 1710086350 - Social Worker - 104100000X

NPI Details
NPI 1710086350
Gender Male
Enumeration Date 09/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4864 CONSTITUTION AV
2B
BATON ROUGE LA, 70808, US
Phone (325) 923-0764
Fax
Business Location
4864 CONSTITUTION AV
2B
BATON ROUGE LA, 70808, US
Phone (325) 923-0764
Fax
Toxanomy
Taxonomy Code 104100000X
License State Louisiana
License Number 146
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According to our database, Mr. Larry Gooch MSW LCSW NPI is 1710086350, taxonomy code is 104100000X and license number is 146, license state is located at Louisiana. Larry Gooch MSW LCSW physically located at 4864 Constitution Av, Baton Rouge LA, 70808. NPI Number Larry Gooch MSW LCSW has the Individual type.

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1710086350 NPI number is provided on an as is basis without warranty of any kind. 1710086350 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Gooch MSW LCSW are for informational purposes only.