Individual
CLARE RUTHMARIE GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
26W171 ROOSEVELT RD, WHEATON, IL 60187-6002
(630) 909-7055
Mailing address
26W171 ROOSEVELT RD, WHEATON, IL 60187-6002
(630) 909-7055
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.014411
IL
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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