Individual
MS. ASHLEY NIESHA GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
9711 DAVID TAYLOR DR APT 201, CHARLOTTE, NC 28262-2370
(704) 910-0136
Mailing address
13912 CEDAR FARM RD, APT 207, CHARLOTTE, NC 28278-7532
(843) 568-8419
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014203
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301100
—
SC
Enumeration date
08/19/2016
Last updated
04/05/2020
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