Individual
SONYA KAY GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 MEDICAL DR, PARAGOULD, AR 72450-4017
(870) 236-2000
(870) 236-5861
Mailing address
PO BOX 83, CORNING, AR 72422-0083
(870) 857-3334
(870) 857-9934
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4090-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186975795
—
AR
01
—
5GG13
BCBS
AR
Enumeration date
06/20/2011
Last updated
08/16/2024
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