Individual
JEAN GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
321 N MALL DR, SUITE I-102, ST GEORGE, UT 84790-7302
(435) 632-1226
(435) 674-9380
Mailing address
321 N MALL DR, SUITE I-102, ST GEORGE, UT 84790-7302
(435) 632-1226
(435) 674-9380
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
124234-3501
UT
Other
Enumeration date
11/21/2006
Last updated
11/07/2011
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