Individual
JEFFREY GOAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
20525 DETROIT RD STE 8, ROCKY RIVER, OH 44116-2444
(216) 236-4266
Mailing address
1283 DONALD AVE, LAKEWOOD, OH 44107-2805
(646) 238-2724
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2106154
OH
1041C0700X
Clinical Social Worker
S.2106154
OH
Other
Enumeration date
06/29/2021
Last updated
07/01/2021
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