Individual
KAITLYN LEE GOODHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 HOWLAND WILSON RD NE, WARREN, OH 44484-3921
(330) 984-2361
Mailing address
2160 HOWLAND WILSON RD NE, WARREN, OH 44484-3921
(330) 984-2361
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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