Individual
KHALIA GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
(732) 867-9720
Mailing address
346 LESLIE AVE, PISCATAWAY, NJ 08854-1755
(908) 838-1788
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06701000
NJ
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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