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NPI Profile for KIMBERLY L GOODWIN in SAINT CLAIR SHORES, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Rehabilitation |
163WR0400X |
| NPI Number | 1245621507 |
|
| Status | Active | |
| Credentials | BSN, MRC, CRC, LPC | |
| Entity | Individual | |
| Enumeration date | 02/09/2015 | |
| Last updated | 10/21/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KIMBERLY L GOODWIN
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KIMBERLY L GOODWIN, BSN, MRC, CRC, LPC