Individual
MS. JADA MICHELLE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
652 HUNTERS LN, ANDERSON, SC 29625-2036
(864) 222-9745
Mailing address
652 HUNTERS LN, ANDERSON, SC 29625-2036
(864) 222-9745
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4664
SC
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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