Individual
ANISSA FRANCES GOODNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
1145 WESLEY AVE, MUSKEGON, MI 49442-2100
(231) 670-3463
Mailing address
2002 MILLS AVE, N MUSKEGON, MI 49445-3120
(231) 670-3463
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802078704
MI
Other
Enumeration date
10/02/2019
Last updated
11/27/2023
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