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Individual

SHON L GOODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
112 HANEY CT, GEORGETOWN, KY 40324-8664
(502) 867-2287
(866) 924-1957
Mailing address
112 HANEY CT, GEORGETOWN, KY 40324-8664
(502) 867-2287
(866) 924-1957

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0117
KY

Other

Enumeration date
08/31/2006
Last updated
08/14/2014
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