Individual
MRS. DAISY GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
302 S CHURCH ST, GASTONIA, NC 28054-4506
(704) 862-0081
Mailing address
7722 ELLA JANE LN APT K, CHARLOTTE, NC 28273-3799
(704) 521-6659
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5098
NC
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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