Individual
MRS. DIANE M GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
463 SWANSEA MALL DR, SWANSEA, MA 02777-4119
(508) 324-1060
Mailing address
PO BOX 211, EAST FREETOWN, MA 02717-0211
(774) 400-2317
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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