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Individual

KIMBERLY STONE GOODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, BCBA, LABA

Contact information

Practice address
364 BOSTON TPKE, REECE CENTER THERAPY, LLC, SHREWSBURY, MA 01545-3869
(508) 925-0083
(508) 848-0925
Mailing address
364 BOSTON TPKE, REECE CENTER THERAPY, LLC, SHREWSBURY, MA 01545-3869
(508) 925-0083
(508) 848-0925

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
Primary
282
MA

Other

Enumeration date
01/10/2011
Last updated
12/14/2015
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