Ms Ann M Goedken, MS, LCSW,LPC | |
747b Crawford Dr, Cottage Grove, WI 53527-9671 | |
(608) 839-1979 | |
Not Available |
Full Name | Ms Ann M Goedken |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 747b Crawford Dr, Cottage Grove, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003081084 | NPI | - | NPPES |
39669100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 201-125 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 790-123 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Ann M Goedken, MS, LCSW,LPC 747b Crawford Dr, Cottage Grove, WI 53527-9671 Ph: (608) 839-1979 | Ms Ann M Goedken, MS, LCSW,LPC 747b Crawford Dr, Cottage Grove, WI 53527-9671 Ph: (608) 839-1979 |
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