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Individual

JENNIFER GOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
412 HIGH ST., WATERFORD, PA 16441
(814) 823-1775
Mailing address
P.O. BOX 530, WATERFORD, PA 16441
(814) 823-1775

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
007782
PA

Other

Enumeration date
02/05/2015
Last updated
02/05/2015
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