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1003036302
COURTNEY ELAINE GOODRUM
FAYETTEVILLE, AR
NPI
1003036302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 1611-C)
Enumeration Date
2007-04-27
Last Update Date
2024-07-30
Business Address
COURTNEY ELAINE GOODRUM LCSW
1 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1825
Phone number: 479-443-5575
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Mailing Address
COURTNEY ELAINE GOODRUM LCSW
1 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1825
Phone number: 479-443-5575
Copy
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