Individual
MR. GARY D. GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
440 S 2ND ST W, SNOWFLAKE, AZ 85937-5218
(928) 243-8172
Mailing address
440 S 2ND ST W, SNOWFLAKE, AZ 85937-5218
(928) 243-8172
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 15444
AZ
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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