Individual
KIMBERLY GOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
LINCOLN BEHAVIORAL SERVICES, 9315 TELEGRAPH ROAD, REDFORD, MI 48239
(313) 450-4500
Mailing address
LINCOLN BEHAVIORAL SERVICES, 9315 TELEGRAPH ROAD, REDFORD, MI 48239
(313) 450-4500
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P613469067450
—
MI
Enumeration date
12/18/2017
Last updated
04/07/2022
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