Individual
MICHAEL WAYNE GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1812 DIXIE YOUTH DRIVE, CHATOM, AL 36518
(251) 847-2301
Mailing address
P.O. BOX 615, 1812 DIXIE YOUTH DRIVE, CHATOM, AL 36518
(251) 847-2301
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
L258
AL
Other
Enumeration date
10/22/2007
Last updated
01/03/2011
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