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Individual

MS. ANITA REINETTE GOODING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
21 S 12TH ST FL 8, PHILADELPHIA, PA 19107-3614
(215) 563-0652
Mailing address
21 S 12TH ST FL 8, PHILADELPHIA, PA 19107-3600

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129640
PA

Other

Enumeration date
09/29/2014
Last updated
01/14/2015
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