Individual
TRACY GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4351 58TH AVE, BLADENSBURG, MD 20710-1900
(703) 629-1250
Mailing address
8908 RIGGS RD, ADELPHI, MD 20783-1632
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
92194B9L8Z1
MD
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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