Individual
JILLIAN GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAGS
Contact information
Practice address
629 MASSACHUSETTS AVE STE 201, BOXBOROUGH, MA 01719-1528
(978) 501-6813
Mailing address
629 MASSACHUSETTS AVE STE 201, BOXBOROUGH, MA 01719-1528
(978) 501-6813
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
477840
MA
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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