Individual
AMANDA GOODBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5838 METRO WAY SW, WYOMING, MI 49519-9619
(269) 832-8266
Mailing address
5838 METRO WAY SW, WYOMING, MI 49519-9619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.010544
IL
1041C0700X
Clinical Social Worker
Primary
6801093788
MI
Other
Enumeration date
05/18/2006
Last updated
07/07/2021
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