Individual
MS. AMELIA TANNAROME GOODYEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
15301 WARREN SHINGLE RD, BEALE AFB, CA 95903-1905
(530) 634-6230
Mailing address
15301 WARREN SHINGLE RD, BEALE AFB, CA 95903-1905
(530) 634-6230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18734
MN
Other
Enumeration date
02/01/2011
Last updated
11/25/2022
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