Individual
JACQUELYN J GOODLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
400 NORTH 32ND STREET, PHOENIX, AZ 85008
(602) 914-2900
Mailing address
400 N 32ND ST, PHOENIX, AZ 85008-6205
(602) 914-2900
(602) 200-2329
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-20059
AZ
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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