KELLY GOFORTH

LOUISVILLE, KY
NPI1194858571
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: KY  105429)
Enumeration Date2007-03-14
Last Update Date2016-06-03
Business Address
Mr. KELLY GOFORTH
4710 CHAMPIONS TRACE LN STE 107
LOUISVILLE, KY 40218-4490
Phone number: 502-589-8600
Mailing Address
Mr. KELLY GOFORTH
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number:
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