Individual
JULIE ANN GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 FORT ST, VAMC, BOISE, ID 83702-4598
(208) 422-1000
(208) 422-1270
Mailing address
2867 E RED FIR CT, BOISE, ID 83716-7102
(208) 422-1000
(208) 422-1270
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1227
ID
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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