Individual
DENNIS BOND GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1090 N 10TH ST STE 110, KALAMAZOO, MI 49009-5733
(269) 375-4363
Mailing address
1003 BERKSHIRE DR, KALAMAZOO, MI 49006-6403
(269) 547-9800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015167
MI
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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