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Tera Goodman

NPI #1215348552 in Hardy, Arkansas

Provider Information

NPI Number
1215348552
Entity Type
Individual
Name
Tera Goodman
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Developmental Disabilities
Enumeration Date
May 8, 2014
Last Updated
May 8, 2014

Practice Location

Address
15 BARBER DR
City
Hardy
State
Arkansas
ZIP Code
72542-9109
Phone
(870) 994-3103

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Developmental Disabilities — Developmental Disabilities

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