Individual
MRS. KIMBERLY A GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1209 S GEMINI RD, EDMOND, OK 73003-5801
(405) 589-9623
Mailing address
1209 S GEMINI RD, EDMOND, OK 73003-5801
(405) 589-9623
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Enumeration date
10/24/2010
Last updated
10/24/2010
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