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Individual

MS. SABRINA P GOODSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
Mailing address
PO BOX 2051, PEACHTREE CITY, GA 30269-0051
(404) 964-5825

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW005535
GA
1041C0700X
Clinical Social Worker
149015833
IL
1041C0700X
Clinical Social Worker
Primary
CSW05303
GA

Other

Enumeration date
02/22/2013
Last updated
09/21/2015
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