Jessica E Goodwin

NPI #1972795458 in Conway, South Carolina

Provider Information

NPI Number: 1972795458
Entity Type: Individual
Name: Jessica E Goodwin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 17, 2007
Last Updated: Aug 17, 2007

Practice Location

Address: 164 WACCAMAW MEDICAL PARK
City: Conway
State: South Carolina
ZIP Code: 29526-8903
Phone: (843) 347-5060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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