NPI 1003081084

Ann M Goedken, MSLCSWLPC

Practitioner Clinical Social Worker Cottage Grove, WI

Practice location

Address: 747b Crawford Dr, Cottage Grove, WI 53527-9671
Phone: (608) 839-1979

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 790-123 (WI)

Other Social Worker providers in Wisconsin →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 201-125 (WI)

Other Counselor providers in Wisconsin →

Registry record

NPI: 1003081084
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2008
Record last updated: 29 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.