Individual
CARL LESLIE GOODWIN-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW-CC
Contact information
Practice address
9 FIELD ST, SUITE 434, BELFAST, ME 04915-6661
(207) 338-8960
(207) 338-8962
Mailing address
PO BOX 570, LINCOLNVILLE, ME 04849-0570
(207) 323-5143
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC12409
ME
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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