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Individual

MEGAN VIRGINIA GOODING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(509) 252-5302
Mailing address
PO BOX 94429, SEATTLE, WA 98124-6729
(907) 451-6682

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
AK

Other

Enumeration date
04/16/2018
Last updated
04/16/2018
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