SHANNON KIVA GOODMAN

GARDEN GROVE, CA
NPI1285346635
Former NameSHANNON KIVA GOODMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2022-12-16
Last Update Date2022-12-16
Business Address
SHANNON KIVA GOODMAN
6615 ANTHONY AVE
GARDEN GROVE, CA 92845-2207
Phone number: 502-649-2110
Mailing Address
SHANNON KIVA GOODMAN
6615 ANTHONY AVE
GARDEN GROVE, CA 92845-2207
Phone number: 502-649-2110
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