Individual
KYLIE GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1600 FLOSSIE DR, GREENDALE, IN 47025-8424
(812) 539-2313
Mailing address
1600 FLOSSIE DR, GREENDALE, IN 47025-8424
(812) 539-2313
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007804A
IN
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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