Individual
MS. CLAUDIA N GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3700 FETTLER PARK DR, DUMFRIES, VA 22025-2050
(703) 441-7570
Mailing address
3700 FETTLER PARK DR, DUMFRIES, VA 22025-2050
(703) 441-7570
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006444
VA
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
DC
Enumeration date
03/04/2008
Last updated
03/27/2024
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