Individual
JESSE GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 APPLEWOOD DR, DALTON, GA 30720-2699
(800) 729-5700
Mailing address
1401 APPLEWOOD DR, DALTON, GA 30720-2699
(800) 729-5700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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