Individual
THERESA GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
14411 JUSTICE RD STE B, MIDLOTHIAN, VA 23113-6907
(434) 962-9730
Mailing address
14411 JUSTICE RD STE B, MIDLOTHIAN, VA 23113-6907
(434) 962-9730
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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