Individual
CHRISTINE ALICE GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 E RILEY DR, AVONDALE, AZ 85323-2004
(623) 932-7000
Mailing address
8606 N 192ND AVE, WADDELL, AZ 85355-9664
(623) 694-1011
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA6394
AZ
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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