Individual
REGINA GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
10850 W PARK PL STE 100, MILWAUKEE, WI 53224-3636
(262) 542-3255
(414) 359-1021
Mailing address
10850 W PARK PL STE 100, MILWAUKEE, WI 53224-3636
(262) 542-3255
(414) 359-1021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7499-123
WI
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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