Individual
MR. JAMIE FREDERICK GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
228 MAPLE ST, MANCHESTER, NH 03103-5500
(603) 622-5005
Mailing address
332 WAYNE ST APT 2, MANCHESTER, NH 03102-3660
(603) 661-5318
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
06/18/2018
Last updated
03/25/2021
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