Individual
JESSICA GOODLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
1200 N WEST AVE STE 800, JACKSON, MI 49202-2185
(517) 780-3304
(517) 787-1765
Mailing address
1200 N WEST AVE STE 800, JACKSON, MI 49202-2185
(517) 780-3304
(517) 787-1765
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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