Individual
MRS. LORI ANN GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
5768 S SEMORAN BLVD, ORLANDO, FL 32822-4818
(321) 397-3000
Mailing address
5768 S SEMORAN BLVD, ORLANDO, FL 32822-4818
(321) 213-5819
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
753611900
—
FL
Enumeration date
07/25/2006
Last updated
07/26/2024
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