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1336763754
TERESA LYNN GOODWIN
WASILLA, AK
NPI
1336763754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-06-01
Last Update Date
2020-06-01
Business Address
TERESA LYNN GOODWIN MA
1363 W SPRUCE AVE
WASILLA, AK 99654-5327
Phone number: 907-414-6516
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Mailing Address
TERESA LYNN GOODWIN MA
1363 W SPRUCE AVE
WASILLA, AK 99654-5327
Phone number: 907-414-6516
Copy
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