NPI | 1205491651 |
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Doing Business As | MEGAN GOEPFERT, LCSW, IMH-E (III) |
Entity Type | Organization |
Authorized Contact | MEGAN GOEPFERT Owner 575-201-3799 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-05-01 |
Last Update Date | 2020-02-24 |