Individual
DYLAN GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1014 WHITEHEAD ROAD EXT, EWING, NJ 08638-2406
(609) 771-3777
Mailing address
1014 WHITEHEAD ROAD EXT, EWING, NJ 08638-2406
(609) 771-3777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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