Individual
KERI ANN GOAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, EIS
Contact information
Practice address
320 CUSTER RD, RICHARDSON, TX 75080-5623
(972) 490-9055
(972) 490-9058
Mailing address
320 CUSTER RD, RICHARDSON, TX 75080-5623
(972) 490-9055
(972) 490-9058
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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