Individual
JULIAN GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5401 GLENRIO RD NW, ALBUQUERQUE, NM 87105-1273
(505) 831-0400
Mailing address
PO BOX 25704, ALBUQUERQUE, NM 87125-0704
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
SWB-2023-0647
NM
Other
Enumeration date
08/29/2022
Last updated
09/20/2024
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