THERESA ALEISE GOODIN

CARBONDALE, IL
NPI1740708171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.006824)
Enumeration Date2017-09-06
Last Update Date2022-07-21
Business Address
THERESA ALEISE GOODIN MA-CCC-SLP
1301 EAST WALNUT STREET
CARBONDALE, IL 62901
Phone number: 618-457-3371
Mailing Address
THERESA ALEISE GOODIN MA-CCC-SLP
1301 E WALNUT ST
CARBONDALE, IL 62901-5004
Phone number: 618-457-3371
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