Individual
MIRANDA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3737 GOVERNMENT BLVD STE 203, MOBILE, AL 36693-4310
(251) 300-7134
(251) 202-7851
Mailing address
63 WOODLAND AVE, SATSUMA, AL 36572-2204
(205) 792-7035
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3761C
AL
Other
Enumeration date
09/16/2016
Last updated
07/29/2019
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