Most Relevant Information
Provider Data
| NPI Number: | 1003810664 |
| Provider Name: | JACQUELINE H GOODIN LISW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | I5454 |
Most Important Dates
| Enumeration Date: | 06/10/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
3430 ROCKY RIVER DR
CLEVELAND
OH
441112954
Practice Location Phone/Fax
| Phone: | 2166881111 |
| Fax: | 2162512886 |
Provider Mailing Location
1439 MARLOWE AVE
LAKEWOOD
OH
441074318
Provider Mailing Phone/Fax
| Phone: | 2162266851 |
| Fax: |