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Individual

ALLISON NICOLE GOODRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2215 NW CACHE RD STE 107, LAWTON, OK 73505-5258
(580) 351-9998
Mailing address
3401 E GORE BLVD APT 1625, LAWTON, OK 73501-6717

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
08/28/2017
Last updated
08/21/2019
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