Individual
ANN GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHS 3 SPECIALTY
Contact information
Practice address
3440 OFFICE PARK DR, KETTERING, OH 45439-2214
(937) 299-9060
(937) 299-3040
Mailing address
3440 OFFICE PARK DR, KETTERING, OH 45439-2214
(937) 299-9060
(937) 299-3040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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