Organization
SHIRLEY GOODLOCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY ANN GOODLOCK (SIS ASSESSOR)
(734) 845-8901
Entity
Organization
Contact information
Practice address
3091 E. CARLETON RD, ADRIAN, MI 49221
(734) 845-8901
Mailing address
3091 E. CARLETON RD, ADRIAN, MI 49221
(734) 845-8901
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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