Individual
MS. BOBI GOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1424 E ISAACS AVE, WALLA WALLA, WA 99362-2154
(509) 301-8318
Mailing address
1424 E ISAACS AVE, WALLA WALLA, WA 99362-2154
(509) 301-8318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005736
WA
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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