Individual
MS. JODI ANN GOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 FAIRFIELD AVE, NEWINGTON, CT 06111-3616
(860) 817-4132
Mailing address
33 HARRIS DR, NEWINGTON, CT 06111-4433
(860) 817-4132
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/02/2018
Last updated
01/03/2025
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