Individual
MRS. STEPHANIE GOODPASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
445 CLINIC DR, MOREHEAD, KY 40351-1077
(606) 783-6805
(606) 783-6869
Mailing address
445 CLINIC DR, MOREHEAD, KY 40351-1077
(606) 783-6805
(606) 783-6869
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
KY
1041C0700X
Clinical Social Worker
Primary
252777
KY
Other
Enumeration date
10/16/2013
Last updated
02/07/2018
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