Individual
MS. KIMBERLY JOYCE GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.T.
Contact information
Practice address
8319 S HAMILTON AVE, CHICAGO, IL 60620-6025
(773) 507-0795
(773) 881-1753
Mailing address
8319 S HAMILTON AVE, CHICAGO, IL 60620-6025
(773) 507-0795
(773) 881-1753
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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