Individual
OPAL CELESTE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38261 BROWN RD, PRAIRIEVILLE, LA 70769-3905
(225) 955-2770
Mailing address
38261 BROWN RD, PRAIRIEVILLE, LA 70769-3905
(225) 955-2770
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16623
LA
1041C0700X
Clinical Social Worker
259908
KY
1041C0700X
Clinical Social Worker
5711C
AL
Other
Enumeration date
02/19/2024
Last updated
01/06/2025
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