DENISE M GOFORTH

PEORIA, IL
NPI1326051863
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149-000026)
Enumeration Date2006-08-15
Last Update Date2019-12-20
Business Address
Ms. DENISE M GOFORTH LCSW
5016 N UNIVERSITY ST SUITE 105
PEORIA, IL 61614-4781
Phone number: 309-692-7778
Mailing Address
Ms. DENISE M GOFORTH LCSW
5016 N UNIVERSITY ST SUITE 105
PEORIA, IL 61614-4781
Phone number: 309-692-7778
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