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1942859616
KIANNA JADE GOODWIN
MADISON, WI
NPI
1942859616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 9831-123)
Enumeration Date
2019-09-05
Last Update Date
2024-08-15
Business Address
KIANNA JADE GOODWIN LCSW
815 FORWARD DR.
MADISON, WI 53711-2443
Phone number: 608-268-6530
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Mailing Address
KIANNA JADE GOODWIN LCSW
815 FORWARD DR.
MADISON, WI 53711-2443
Phone number: 608-268-6530
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