Individual
PAIGE MADDOX GOODLOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 PRESTON AVE, CHARLOTTESVILLE, VA 22903-4491
(303) 718-6482
Mailing address
901 PRESTON AVE, CHARLOTTESVILLE, VA 22903-4491
(303) 718-6482
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704014116
VA
Other
Enumeration date
07/08/2021
Last updated
06/11/2024
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