Lora Wilson Goodenough LMFT

NPI 1114173283 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1114173283
Gender Female
Enumeration Date 08/08/2008
Last Updated 08/08/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
495 STATE ST STE 301
SALEM OR, 97301-3757, US
Phone (503) 409-5551
Fax
Business Location
495 STATE ST STE 301
SALEM OR, 97301-3757, US
Phone (503) 409-5551
Fax
Toxanomy
Taxonomy Code 106H00000X
License State Oregon
License Number T0612
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According to our database, Mrs. Lora Wilson Goodenough LMFT NPI is 1114173283, taxonomy code is 106H00000X and license number is T0612, license state is located at Oregon. Lora Wilson Goodenough LMFT physically located at 495 State St Ste 301, Salem OR, 97301-3757. NPI Number Lora Wilson Goodenough LMFT has the Individual type.

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1114173283 NPI number is provided on an as is basis without warranty of any kind. 1114173283 is maintained by the National Plan & Provider Enumeration System. The contents of Lora Wilson Goodenough LMFT are for informational purposes only.