Individual
MRS. TARA GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 N HARRISON ST, SHAWNEE, OK 74804-4022
(405) 380-8033
Mailing address
2064 HWY 27, WETUMKA, OK 74883
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/26/2014
Last updated
05/27/2016
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