Individual
JOCELYN GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
85 HIGH ST, WALDORF, MD 20602-2150
(301) 997-1300
Mailing address
85 HIGH ST, WALDORF, MD 20602-2150
(301) 997-1300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
26484
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
26484
MD
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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