Individual
HILLARY GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S DIVISION ST, NORRIS CITY, IL 62869-1634
(618) 599-4018
Mailing address
105 NW 9TH ST, FAIRFIELD, IL 62837-1220
(618) 599-4018
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006967A
IN
Other
Enumeration date
05/13/2019
Last updated
01/04/2021
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