Individual
ELIZABETH ANNE GOODLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1210 W SAGINAW ST, 2ND FLOOR, LANSING, MI 48915-1927
(517) 364-7700
(517) 364-7701
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-6253
(517) 364-6204
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801064823
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8008940140
INDIVIDUAL BCBS PIN #
MI
Enumeration date
01/22/2007
Last updated
01/02/2008
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