Wanda Gothard

NPI #1063178291 in Clanton, Alabama

Provider Information

NPI Number: 1063178291
Entity Type: Individual
Name: Wanda Gothard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 11, 2021
Last Updated: Nov 11, 2021

Practice Location

Address: 808 LAY DAM RD
City: Clanton
State: Alabama
ZIP Code: 35045-2943
Phone: (205) 280-7733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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