Laura L Goba, APSW | |
W175n11120 Stonewood Dr, Germantown, WI 53022-4799 | |
(800) 438-1772 | |
(262) 345-5562 |
Full Name | Laura L Goba |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | W175n11120 Stonewood Dr, Germantown, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952093569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 126983 (Wisconsin) | Primary |
Entity Name | Wisconsin Lutheran Child And Family Service Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083786628 PECOS PAC ID: 0749233898 Enrollment ID: O20050301000318 |
Mailing Address | Practice Location Address |
---|---|
Laura L Goba, APSW W175n11120 Stonewood Dr, Germantown, WI 53022-4799 Ph: (800) 438-1772 | Laura L Goba, APSW W175n11120 Stonewood Dr, Germantown, WI 53022-4799 Ph: (800) 438-1772 |
Julie M Robles, Counselor Medicare: Medicare Enrolled Practice Location: W175n11120 Stonewood Dr, Germantown, WI 53022 Phone: 800-438-1772 Fax: 262-345-5562 | |
Sarah M Reik, LPC Counselor Medicare: Medicare Enrolled Practice Location: W175n11163 Stonewood Dr, Suite 202, Germantown, WI 53022 Phone: 414-702-3154 | |
Mr. Daniel P Nommensen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: W175n11120 Stonewood Dr, Germantown, WI 53022 Phone: 262-345-5560 Fax: 262-345-5531 | |
Mr. John Riegert Fischer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: W143n10243 Gatewood Ct, Germantown, WI 53022 Phone: 414-213-5722 | |
Sarah Westerman, Counselor Medicare: Medicare Enrolled Practice Location: W175n11120 Stonewood Dr, Germantown, WI 53022 Phone: 800-438-1772 Fax: 262-345-5562 | |
Anthony Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: W175n11117 Stonewood Dr Ste 220, Germantown, WI 53022 Phone: 502-593-4850 | |
Timothy J Kemnitz, PLMHP Counselor Medicare: Medicare Enrolled Practice Location: W175n11120 Stonewood Dr, Germantown, WI 53022 Phone: 800-438-1772 Fax: 262-293-9737 |