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1851837264
MICHELLE RENEE GOODWILL
GILBERT, AZ
NPI
1851837264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC 16387)
Enumeration Date
2017-01-09
Last Update Date
2017-01-09
Business Address
-- MICHELLE RENEE GOODWILL MC, LAC
2943 E AUSTIN DR
GILBERT, AZ 85296-0594
Phone number: 602-582-5124
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Mailing Address
-- MICHELLE RENEE GOODWILL MC, LAC
690 E WARNER RD SUITE 115
GILBERT, AZ 85296-3054
Phone number: 480-444-2434
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