Individual
MOLLY MARY GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, MSW, SSW
Contact information
Practice address
7820 N UNIVERSITY ST STE 101, PEORIA, IL 61614-8301
(309) 253-2471
Mailing address
17868 TOWNSHIP ROAD 500 N, WYOMING, IL 61491-8939
(309) 883-2405
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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