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Individual

MADISON GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CFY-SLP

Contact information

Practice address
4725 S COLONIAL OAKS DR, MARION, IN 46953-5341
(765) 674-9791
Mailing address
12416 WANDERING WAY, FORT WAYNE, IN 46818-8985

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
06/07/2019
Last updated
06/07/2019
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