Individual
ANN ELIZABETH GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
417 OHARA DR, DANVILLE, KY 40422-1539
(859) 940-1531
Mailing address
417 OHARA DR, DANVILLE, KY 40422-1539
(859) 940-1531
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3958
ND
1041C0700X
Clinical Social Worker
Primary
3426
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054519
—
ND
Enumeration date
11/07/2006
Last updated
07/11/2020
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