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Individual

ALYSSA GOODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5310 E 31ST ST, TULSA, OK 74135-5012
(417) 439-9816
Mailing address
1638 S CARSON AVE APT 708, TULSA, OK 74119-4237
(417) 439-9816

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22238-P
OK
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/24/2022
Last updated
02/02/2026
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