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Individual

MRS. GERALD EVELYN GOODWIN

Active
Find providers by NPI
Individual

MRS. GERALD EVELYN GOODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
09043352
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
394133
UNITED MAMSI
VA
01
7745413
AETNA
VA
05
8945616
VA
01
M607
CARE FIRST
VA
Enumeration date
01/18/2007
Last updated
07/09/2007
About Stedi
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