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General NPI Number Information
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NPI Number | 1740776061
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Entity Type | Individual
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Provider Name | CHRISTINA GOERING LCSW, MSW
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Gender | Female
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Dates
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Enumeration Date | 07/10/2018
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 900 SHUGART RD
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City | DALTON
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State | GA
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Zip | 30720-2467
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Country | US
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Telephone | 706-270-5005
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Fax |
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Provider Business Mailing Address
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Address Line | 8 BROTHERS LN APT 807
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City | DALTON
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State | GA
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Zip | 30720-7346
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Country | US
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Telephone | 641-814-3434
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW007705
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2020035393
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License Number State | MO
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