Tina Goolsby

NPI #1124529979 in Flossmoor, Illinois

Provider Information

NPI Number: 1124529979
Entity Type: Individual
Name: Tina Goolsby
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Feb 27, 2018
Last Updated: Feb 27, 2018

Practice Location

Address: 19530 KEDZIE AVE
City: Flossmoor
State: Illinois
ZIP Code: 60422-1778
Phone: (708) 799-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - School — School	1041S0200X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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