Individual
ALLYSIN GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 312, MASONTOWN, WV 26542-0312
(681) 209-5474
Mailing address
PO BOX 312, MASONTOWN, WV 26542-0312
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
09/07/2025
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