Individual
SARAH GOODNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1704 ROYAL POINTE DRIVE, BLOOMINGTON, IL 61704
(309) 253-1807
Mailing address
1704 ROYAL POINTE DR, BLOOMINGTON, IL 61704-8170
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2022001
IL
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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