Individual
MRS. KIMBERLY RENEE GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, L.C.S.W.
Contact information
Practice address
314 N LAST CHANCE GULCH STE 211B, HELENA, MT 59601-5012
(406) 438-1324
Mailing address
1901 SPOKANE CREEK RD, EAST HELENA, MT 59635-9786
(406) 438-1324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
936
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043482425
—
MT
Enumeration date
03/26/2008
Last updated
06/11/2013
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