| NPI | 1174819262 |
|---|---|
| Other Name | JASON DEAN GOADE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW61061942) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L4910) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2022-07-21 |