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Individual

KAILYN RENEE GOODMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2627 CRYSTAL AVE, FINDLAY, OH 45840-4459
(419) 222-1168
Mailing address
530 S. MAIN STREET, LIMA, OHIO, 45804, LIMA, OH 45804
(419) 222-1168

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/29/2023
Last updated
06/29/2023
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