Provider Information for 1487258364
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Dr. SALLY GOH Ph.D., LPC, NCC
Sex: Female
NPI: 1487258364
Last Updated: 2020-11-24
Certification Date: 2020-11-24
Certification Date: 2020-11-24
Details
Name | Value | |||||||||||||||||||||
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NPI | 1487258364 | |||||||||||||||||||||
Enumeration Date | 2020-11-23 | |||||||||||||||||||||
NPI Type | NPI-1 Individual | |||||||||||||||||||||
Sole Proprietor | NO | |||||||||||||||||||||
Status | Active | |||||||||||||||||||||
Mailing Address | 1892 GRAVES MILL RD UNIT D LYNCHBURG, VA 24502-5097 United States Phone: 434-233-4080 | Fax: | |||||||||||||||||||||
Primary Practice Address | 98 EDGEWOOD CT LYNCHBURG, VA 24502-3285 United States Phone: 434-233-4080 | Fax: | |||||||||||||||||||||
Secondary Practice Address(es) | 1892 GRAVES MILL RD UNIT D | |||||||||||||||||||||
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