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Individual

MATTHEW DAVID GOODING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LSW

Contact information

Practice address
3791 10TH STREET, BUILDING 1010, EDINBURGH, IN 46124-2553
(812) 348-0300
Mailing address
5052 W BAY RD, PLAINFIELD, IN 46168-9015
(317) 839-2719

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33008757A
IN

Other

Enumeration date
07/30/2021
Last updated
07/30/2021
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