Individual
MARY A GOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301-3532
(701) 665-2200
Mailing address
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301-3532
(701) 665-2200
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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