Individual
DIANNE GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
331 TRIMBLE RD APT B3, JOPPA, MD 21085-3819
(410) 591-2801
Mailing address
331 TRIMBLE RD APT B3, JOPPA, MD 21085-3819
(410) 591-2801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17086
MD
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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