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Individual

MRS. SUSAN LYNN GOOLSBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., RD, CSSD, LD

Contact information

Practice address
#1 CHILDREN'S WAY, ARKANSAS CHILDREN'S HOSPITAL, SLOT 603, LITTLE ROCK, AR 72202
(501) 364-1261
(501) 364-6819
Mailing address
#1 CHILDREN'S WAY, SLOT 603 ARKANSAS CHILDREN'S HOSPITAL, LITTLE ROCK, AR 72202
(501) 364-1261
(501) 364-6819

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
471
AR

Other

Enumeration date
11/20/2009
Last updated
11/20/2009
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