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Individual

CASSANDRA GOODMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
EDS

Contact information

Practice address
2930 E NORTHERN AVE STE A105, PHOENIX, AZ 85028-4844
(602) 428-2838
Mailing address
4338 E WOODRIDGE DR, PHOENIX, AZ 85032-9226
(928) 266-8740

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary

Other

Enumeration date
06/07/2021
Last updated
06/07/2021
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