Individual
CHRISTOPHER ALLEN GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
935 HIGHWAY V V, KENNETT, MO 63857
(573) 888-0642
(573) 888-8833
Mailing address
615 HOMECREST ST, KENNETT, MO 63857-1527
(573) 344-3565
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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