Individual
ANNA GOODROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2521 N ELMS RD, FLUSHING, MI 48433-9423
(810) 397-0586
Mailing address
44670 ANN ARBOR RD W STE 130, PLYMOUTH, MI 48170-4085
(313) 278-4601
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
05/19/2023
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