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WALLACE GOODMAN
Addiction (Substance Use Disorder) Counselor
NPI: 1427488055Individual
Specialties, Licenses & Credentials
Counselor — Addiction (Substance Use Disorder)
Code: 101YA0400X
2011024580(MO)
Contact & Hours
- Address
- 501 HIGHWAY J N
HAYTI, MO 63851 - Phone
- (573) 359-2600
Quick Facts
- NPI
- 1427488055
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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