Individual
MRS. STACIE GOODSON-JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
302 SCARLET OAKS DR, MACON, GA 31220-5389
(770) 825-3514
Mailing address
302 SCARLET OAKS DR, MACON, GA 31220-5389
(770) 825-3514
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
CSW007760
—
Other
Enumeration date
07/06/2007
Last updated
10/19/2023
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