Provider Information for 1881728285
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TRISHA S GOETZ LCSW, CACIII
Sex: Female
NPI: 1881728285
Last Updated: 2016-07-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1881728285 | ||||||||||||
| Enumeration Date | 2007-03-15 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 3701 S BROADWAY ENGLEWOOD, CO 80113-3611 United States Phone: 303-360-6276 | Fax:303-467-5355 | ||||||||||||
| Primary Practice Address | 3292 PEORIA ST AURORA, CO 80010-1517 United States Phone: 303-343-6130 | Fax:303-344-0664 | ||||||||||||
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