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Individual

TERRY GOLDSWORTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PEER SUPPORT

Contact information

Practice address
1600 NW GARDEN VALLEY BLVD, SUITE 110, ROSEBURG, OR 97471-8700
(541) 440-3532
Mailing address
1600 NW GARDEN VALLEY BLVD, SUITE 110, ROSEBURG, OR 97471-8700
(541) 440-3532

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
07/18/2016
Last updated
07/18/2016
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