Goforth, Dawn

Goforth, Dawn is an individual health care provider with primary practice located at 913 N Carolina Ave , Statesville NC 28677-3414. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Goforth, Dawn can be contacted via phone (704) 871-0934.

Contact Information

Primary practice address
913 N Carolina Ave Statesville NC 28677-3414
Phone: (704) 871-0934
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1730736307
LBN Legal business name Goforth, Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2019
Last updated Apr 25th, 2021 - about 5 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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