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NPI Profile for COURTNEY N GOOLSBY in SUFFOLK, VA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Developmental Therapist |
222Q00000X |
| NPI # | 1720419872 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/27/2013 | |
| Last updated | 04/13/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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COURTNEY N GOOLSBY
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COURTNEY N GOOLSBY