Most Relevant Information
Provider Data
| NPI Number: | 1003173659 |
| Provider Name: | SARA CHARLES GOGUEN MSW, LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | C007672 |
Most Important Dates
| Enumeration Date: | 04/20/2012 |
| Last Updated: | 06/25/2012 |
Provider Practice Location
2125 SOUTHEND DR
SUITE 452
CHARLOTTE
NC
282035301
Practice Location Phone/Fax
| Phone: | 7043781390 |
| Fax: | 7043781392 |
Provider Mailing Location
7702 SURREYWOOD PL
CHARLOTTE
NC
282702157
Provider Mailing Phone/Fax
| Phone: | 7043781390 |
| Fax: | 7043781392 |