Individual
JENNIFER GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
624 S CLARKSON ST, DENVER, CO 80209-4322
(303) 931-3774
Mailing address
624 S CLARKSON ST, DENVER, CO 80209-4322
(303) 931-3774
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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