Individual
AUTUMN GOODFRIEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
17951 JEFFERSON PARK RD STE 100, MIDDLEBURG HEIGHTS, OH 44130-8439
(440) 879-8517
Mailing address
1522 ALAMEDA AVE, LAKEWOOD, OH 44107-4923
(567) 868-9347
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2512066
OH
Other
Enumeration date
05/16/2025
Last updated
05/21/2025
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