Individual
SARA M GOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.A.
Contact information
Practice address
3909 S WILSON RD, RADCLIFF, KY 40160-8944
(270) 351-9444
Mailing address
3909 S WILSON RD, RADCLIFF, KY 40160-8944
(270) 351-9444
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1011
KY
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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