Individual
COURTNEY GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 HAGER ST, MADISON, WV 25130-1405
(304) 784-0283
Mailing address
425 HAGER STREET, MADISON, WV 25130
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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