MS. Mara Stacey Goverman, L.C.S.W.
NPI #1316271158 in Solana Beach, California
Provider Information
- NPI Number
- 1316271158
- Entity Type
- Individual
- Name
- MS. Mara Stacey Goverman, L.C.S.W.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- L.C.S.W.
- Enumeration Date
- Sep 27, 2009
- Last Updated
- Sep 27, 2009
Practice Location
- Address
- 415 N HIGHWAY 101
- Address 2
- SUITE C
- City
- Solana Beach
- State
- California
- ZIP Code
- 92075-1172
- Phone
- (619) 840-0015
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Social Worker - Clinical — Clinical |
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