Jennifer Anne Goodluck, MRSSP

NPI #1235632779 in Poplar Bluff, Missouri

Provider Information

NPI Number: 1235632779
Entity Type: Individual
Name: Jennifer Anne Goodluck, MRSSP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: MRSSP
Enumeration Date: Mar 12, 2018
Last Updated: Mar 12, 2018

Practice Location

Address: 3001 WARRIOR LN
City: Poplar Bluff
State: Missouri
ZIP Code: 63901-8685
Phone: (573) 686-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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