Individual
LANCE MICHAEL GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4911 N PORTLAND AVE, SUITE 111, OKLAHOMA CITY, OK 73112-6171
(405) 605-3093
(405) 601-5682
Mailing address
770 N SILVER SPRINGS BLVD, APARTMENT 1814, WICHITA, KS 67212-6099
(405) 481-3010
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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