Individual
PHILIP J GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1310 W MAIN ST, LEXINGTON, KY 40508-2048
(859) 253-1993
(859) 255-1134
Mailing address
1310 W MAIN ST, LEXINGTON, KY 40508-2048
(859) 253-1993
(859) 255-1134
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
541
KY
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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