Individual
DANIELLE TAYLOR GOODWYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2010 CARLISLE AVE, RICHMOND, VA 23231-3445
(804) 690-8698
Mailing address
2112 ACADEMY RD, POWHATAN, VA 23139-5814
(804) 690-8698
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904011524
VA
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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