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Individual

MS. BARBARA ANN GOODRIDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW #5783

Contact information

Practice address
1209 COLLEGE AVE, SANTA ROSA, CA 95404-3907
(707) 479-8814
Mailing address
8510 KENNEDY RD, SEBASTOPOL, CA 95472-5330
(707) 823-7205

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 5783
CA

Other

Enumeration date
08/16/2006
Last updated
07/08/2007
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