Kristy Diane Goodson

NPI #1194156216 in Ammon, Idaho

Provider Information

NPI Number: 1194156216
Entity Type: Individual
Name: Kristy Diane Goodson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Nov 30, 2013
Last Updated: Aug 2, 2023

Practice Location

Address: 1675 CURLEW DR
City: Ammon
State: Idaho
ZIP Code: 83406-4718
Phone: (208) 523-5319

Specialties & Taxonomy Codes

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

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