Organization
TRACIE B GOODSPEED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE B GOODSPEED M.ED., LPC (OWNER)
(918) 687-3730
Entity
Organization
Contact information
Practice address
3941 S 1ST ST W, MUSKOGEE, OK 74401-8915
(918) 687-3730
Mailing address
3941 S 1ST ST W, MUSKOGEE, OK 74401-8915
(918) 687-3730
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4461
OK
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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