Individual
TAYLOR GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
880 N COLORADO ST, GILBERT, AZ 85233-3419
(480) 820-0825
Mailing address
14635 S 24TH PL, PHOENIX, AZ 85048-9053
(602) 391-0028
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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