Individual
MISS ELIZABETH GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1170 E BELVIDERE RD, SUITE 201, GRAYSLAKE, IL 60030-2061
(847) 548-0492
(847) 548-0537
Mailing address
1038 WAYNE AVE, DEERFIELD, IL 60015-2825
(502) 544-2192
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.018965
IL
Other
Enumeration date
12/21/2016
Last updated
06/02/2022
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