Shannon Kiva Goodman

NPI #1285346635 in Garden Grove, California

Provider Information

NPI Number: 1285346635
Entity Type: Individual
Name: Shannon Kiva Goodman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 16, 2022
Last Updated: Dec 16, 2022

Practice Location

Address: 6615 ANTHONY AVE
City: Garden Grove
State: California
ZIP Code: 92845-2207
Phone: (502) 649-2110

Specialties & Taxonomy Codes

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

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