Individual
PERSEPHONE CIERRA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 521-6260
Mailing address
3001 CASCADE MANOR DR, DECATUR, GA 30034-3255
(470) 954-2263
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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