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Individual

CARMELINE GOODWIN

Active
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Individual

CARMELINE GOODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSCSW, LCSW, RPT

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
#4342
KS
1041C0700X
Clinical Social Worker
2014022969
MO
1041C0700X
Clinical Social Worker
27484203
KS

Other

Enumeration date
04/18/2017
Last updated
04/18/2017
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