Individual
MICHELLE GOOLSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPS
Contact information
Practice address
977 TAYLOR ST SW, SUITE-A, CONYERS, GA 30012-5357
(770) 918-6677
(770) 918-6686
Mailing address
1510 SUGARPLUM PL SW, CONYERS, GA 30094-6844
(770) 918-6677
(770) 918-6686
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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