Individual
JAIMIE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 MOORES RIVER DR, LANSING, MI 48910-1434
(517) 887-0226
(517) 887-8121
Mailing address
584 PINESPAR DR SW, BYRON CENTER, MI 49315-8371
(616) 312-7228
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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