Individual
JEANIMARIE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9815 ROOSEVELT BLVD, SUITE B, PHILADELPHIA, PA 19114-1035
(610) 644-6464
(610) 981-6078
Mailing address
680 AMERICAN AVE, SUITE 302, KING OF PRUSSIA, PA 19406-4023
(610) 644-6464
(610) 981-6078
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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