Sara Julia Faye Gothard, LISW

NPI #1477518090 in Lebanon, Ohio

Provider Information

NPI Number: 1477518090
Entity Type: Individual
Name: Sara Julia Faye Gothard, LISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LISW
Enumeration Date: Apr 18, 2006
Last Updated: Jun 28, 2016

Practice Location

Address: 975 KINGSVIEW DR
Address 2: BLDG A
City: Lebanon
State: Ohio
ZIP Code: 45036-9562
Phone: (513) 228-7800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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