Individual
JACQUELINE H GOODIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
3430 ROCKY RIVER DR, CLEVELAND, OH 44111-2954
(216) 688-1111
(216) 251-2886
Mailing address
1439 MARLOWE AVE, LAKEWOOD, OH 44107-4318
(216) 226-6851
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I5454
OH
Other
Enumeration date
06/10/2005
Last updated
07/08/2007
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