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1003106279
SUSAN WINDHAM GOODWYN
VACAVILLE, CA
NPI
1003106279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY24190)
Enumeration Date
2011-04-08
Last Update Date
2011-04-13
Business Address
Dr. SUSAN WINDHAM GOODWYN Ph.D.
301 ALAMO DR A1
VACAVILLE, CA 95688-4246
Phone number: 707-455-8541
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Mailing Address
Dr. SUSAN WINDHAM GOODWYN Ph.D.
3358 MIX CANYON RD
VACAVILLE, CA 95688-9012
Phone number: 707-455-8541
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