Individual
DEBORAH ANN GOODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
2680 VERNON DR, GREEN BAY, WI 54304-5374
(920) 272-1200
(920) 272-1201
Mailing address
2680 VERNON DR, GREEN BAY, WI 54304-5374
(920) 272-1200
(920) 272-1201
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2465-226
WI
Other
Enumeration date
05/03/2015
Last updated
05/03/2015
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