Individual
MR. CARL LEWIS GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10626 E ENID AVE, MESA, AZ 85208-7276
(602) 384-5443
(480) 981-5555
Mailing address
10626 E ENID AVE, MESA, AZ 85208-7276
(602) 384-5443
(480) 981-5555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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