Individual
STEPHANIE GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3810 WINCHESTER RD, SOUTHEAST MENTAL HEALTH CENTER, MEMPHIS, TN 38118-6045
(901) 369-1420
(901) 369-1433
Mailing address
133 HARBOR CLUB CIR N, APT 102, MEMPHIS, TN 38103-8817
(901) 356-8672
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8543
TN
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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