Goetzke, Mary Jane

Goetzke, Mary Jane is an individual health care provider with primary practice located at 10400 Ridgland Rd Ste. 1, Cockeysville MD 21030-2715. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Goetzke, Mary Jane can be contacted via phone (410) 628-6120.

Contact Information

Primary practice address
10400 Ridgland Rd Ste. 1 Cockeysville MD 21030-2715
Phone: (410) 628-6120
Fax: (410) 628-9825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCA094 Maryland

Profile Details

NPI number 1730454620
LBN Legal business name Goetzke, Mary Jane
Credentials LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2012
Last updated May 30th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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