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Contact Information

ROCHELLE M GOODRICH, LICSW
FOND DU LAC HUMAN SERVICES DIVISION
927 TRETTEL LANE
CLOQUET, MN55720
 Phone: 218-879-1227
 Fax: 218-878-2188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for ROCHELLE M GOODRICH · (Female)

NPI Number 1124170840
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 01/16/2007
Last updated 06/30/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 22104
  • MN License # 301771
  • MN Other 666815100 FDLHSD MEDICAIDE
  • MN Other NPPOO FDLHSD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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