Individual
CYNECQUA GOODRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(317) 272-3330
(317) 272-0807
Mailing address
4107 DILLER DR, INDIANAPOLIS, IN 46235-1521
(317) 627-4805
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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