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1427755784
STACIE MARIE GOODWIN
SENECA, SC
NPI
1427755784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: SC 5551)
Enumeration Date
2023-02-07
Last Update Date
2023-02-07
Business Address
STACIE MARIE GOODWIN OTR/L
1460 CONEROSS POINT DR
SENECA, SC 29678-5908
Phone number: 208-989-9487
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Mailing Address
STACIE MARIE GOODWIN OTR/L
1460 CONEROSS POINT DR
SENECA, SC 29678-5908
Phone number: 208-989-9487
Copy
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