NPI 1003173659

Sara Charles Goguen, MSWLCSW

Practitioner Clinical Social Worker Charlotte, NC

Practice location

Address: 2125 Southend Dr Suite 452, Charlotte, NC 28203-5301
Phone: (704) 378-1390
Fax: (704) 378-1392
Mailing address: 7702 Surreywood Pl, Charlotte, NC 28270-2157

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence C007672 (NC)

Other Social Worker providers in North Carolina →

Registry record

NPI: 1003173659
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Apr 2012
Record last updated: 25 Jun 2012

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.