Gary Goolsbee, LICSW
NPI #1619990793 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1619990793
- Entity Type
- Individual
- Name
- Gary Goolsbee, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jul 26, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 121 11TH AVE SE
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-1850
- Phone
- (651) 251-5220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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