Individual
JON MATTHEW GOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
305 S LUCILE ST, SEATTLE, WA 98108-2435
(206) 764-5130
Mailing address
305 S LUCILE ST, SEATTLE, WA 98108-2435
(206) 764-5130
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108703
TX
104100000X
Social Worker
SA61356300
WA
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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