CARL LEWIS GOODWIN

MESA, AZ
NPI1508095316
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-07-14
Last Update Date2009-07-14
Business Address
Mr. CARL LEWIS GOODWIN
10626 E ENID AVE
MESA, AZ 85208-7276
Phone number: 602-384-5443
Mailing Address
Mr. CARL LEWIS GOODWIN
10626 E ENID AVE
MESA, AZ 85208-7276
Phone number: 602-384-5443