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Individual

KAITLIN MARIE GOODRICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3006 LAKE BROOK BLVD BLDG 2, KNOXVILLE, TN 37909-1137
(865) 257-9982
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(805) 354-3060

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
TN

Other

Enumeration date
12/22/2023
Last updated
12/06/2024
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