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Individual

HAILEY GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMHCA

Contact information

Practice address
5970 FAIRVIEW RD STE 575, CHARLOTTE, NC 28210-3167
(704) 332-5123
Mailing address
141 REMOUNT RD APT 10301, CHARLOTTE, NC 28203-6491
(704) 960-0801

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17790
NC

Other

Enumeration date
07/07/2022
Last updated
01/18/2023
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