Individual
MRS. CAROL A GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6950 FARMINGTON RD, WEST BLOOMFIELD, MI 48322-3220
(248) 702-1604
Mailing address
7370 VILLAGE SQUARE DR, WEST BLOOMFIELD, MI 48322-3386
(248) 464-0061
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000118
MI
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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