Individual
DENINE M GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 GLENWOOD AVE, SUITE 160, RALEIGH, NC 27608-1043
(919) 781-9565
Mailing address
2626 GLENWOOD AVE, SUITE 160, RALEIGH, NC 27608-1043
(919) 781-9565
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5975
NC
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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