Individual
KATHY GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 W COURT ST STE 2, PARAGOULD, AR 72450-4116
(870) 897-2372
Mailing address
PO BOX 1545, PARAGOULD, AR 72451-1545
(870) 897-2372
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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