Individual
ALAN GOODSTAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8509 CROWN CRESCENT CT, CHARLOTTE, NC 28227-7733
(704) 288-1097
Mailing address
6619 NW 97TH LN, PARKLAND, FL 33076-2339
(954) 415-0758
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C012227
NC
Other
Enumeration date
07/26/2020
Last updated
11/27/2020
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