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Individual

BRIAN KENT GOODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
(217) 277-2258
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
(217) 277-2253

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149009722
IL

Other

Enumeration date
11/12/2020
Last updated
02/26/2021
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