Individual
ANGELA LISA GOODE-TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, RN
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(360) 620-5015
Mailing address
18434 NUTMEG ST SW, ROCHESTER, WA 98579-9115
(360) 827-2049
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LW00008492
WA
163W00000X
Registered Nurse
Primary
RN61078832
WA
Other
Enumeration date
01/09/2007
Last updated
01/10/2023
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