Individual
MISTY GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPES
Contact information
Practice address
1311 CHANDLER CIR, FLORENCE, SC 29505-6467
(843) 468-1850
Mailing address
1311 CHANDLER CIR, FLORENCE, SC 29505-6467
(843) 468-1850
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4580
SC
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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