Individual
ALLIE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 W US HIGHWAY 2, WAKEFIELD, MI 49968-9515
(906) 229-6120
(906) 229-6191
Mailing address
103 W US HIGHWAY 2, WAKEFIELD, MI 49968-9515
(906) 229-6120
(906) 229-6191
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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