Wallace Goodman

NPI #1427488055 in Hayti, Missouri

Provider Information

NPI Number
1427488055
Entity Type
Individual
Name
Wallace Goodman
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Nov 18, 2013
Last Updated
Nov 18, 2013

Practice Location

Address
501 HIGHWAY J N
City
Hayti
ZIP Code
63851
Phone
(573) 359-2600

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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