Individual
MS. DEVRA DAWN GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
435 GOLD PASS HTS, MYRON STRATTON CAMPUS, COLORADO SPRINGS, CO 80906-3882
(719) 689-3584
(719) 689-5711
Mailing address
435 GOLD PASS HEIGHTS, MYRON STRATTON CAMPUS, COLORADO SPRINGS, CO 80901
(719) 689-3584
(719) 689-5711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
484
CO
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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