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Individual

DAJUANA GOODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
975 SOLOMONS ISLAND RD N, PRINCE FREDERICK, MD 20678-3917
(410) 535-5400
Mailing address
1203 ADDISON CT, WALDORF, MD 20602-1642
(301) 848-9360

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC4413
MD
101YM0800X
Mental Health Counselor

Other

Enumeration date
04/18/2012
Last updated
05/20/2019
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