Individual
JESSICA GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 PINE ST, SOUTHBRIDGE, MA 01550-1823
(508) 765-9167
(508) 764-2462
Mailing address
29 PINE ST, SOUTHBRIDGE, MA 01550-1823
(508) 765-9167
(508) 764-2462
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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