Individual
JODI GOOD
Active
Individual
JODI GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW134751
PA
1041C0700X
Clinical Social Worker
Primary
CW022271
PA
Other
Enumeration date
10/28/2020
Last updated
11/12/2021
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