Lisa Goggins

NPI #1659881027 in Dolton, Illinois

Provider Information

NPI Number
1659881027
Entity Type
Individual
Name
Lisa Goggins
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - School
Enumeration Date
Oct 11, 2017
Last Updated
Oct 11, 2017

Practice Location

Address
333 E 142ND ST
City
Dolton
ZIP Code
60419-1109
Phone
(708) 849-9848

Specialties & Taxonomy Codes

Specialty
Psychologist - SchoolSchool

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