Individual
BARBARA SUE GOODMAN-FISCHTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW,LMFT,LADC
Contact information
Practice address
11812 WAYZATA BLVD, SUITE # 120, MINNETONKA, MN 55305-2012
(952) 288-5335
Mailing address
11812 WAYZATA BLVD, SUITE # 120, MINNETONKA, MN 55305-2012
(952) 288-5335
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2270
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090758800
—
MN
Enumeration date
09/20/2006
Last updated
11/10/2008
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