Individual
MRS. BRIDGETTE JEANNE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1082 OLD DES PERES RD, DES PERES, MO 63131-1865
(314) 821-5230
Mailing address
2706 ALLEN AVE, SAINT LOUIS, MO 63104-2118
(314) 773-4493
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004035763
MO
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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