Tyler Goodwine, LCSW

NPI #1992148548 in Niles, Illinois

Provider Information

NPI Number
1992148548
Entity Type
Individual
Name
Tyler Goodwine, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Apr 14, 2013
Last Updated
Apr 14, 2013

Practice Location

Address
7646 N WAUKEGAN RD
City
Niles
ZIP Code
60714-3242
Phone
(773) 294-6403

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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