Individual
JANICE MARY GOODISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6563 SKY HEIGHTS DR, TOOELE, UT 84074-3097
(406) 499-2709
Mailing address
6563 SKY HEIGHTS DR, TOOELE, UT 84074-3097
(406) 499-2709
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5171789-3502
UT
Other
Enumeration date
03/18/2006
Last updated
09/27/2022
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