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Individual
MR. WILLIAM RUSSELL GOODWIN
Active
Individual
MR. WILLIAM RUSSELL GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7619
NC
101YM0800X
Mental Health Counselor
7619
NC
Other
Enumeration date
12/15/2009
Last updated
04/20/2010
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