Tamara L Goldrick, LCSW
Social Worker, Clinical in Jackson, MO. Individual provider (NPI-1).
NPI number1366073496
StatusActive
Last updated in NPPESJan 28, 2020
Details
- NPI
- 1366073496
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tamara L Goldrick
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 28, 2020
- Certification date
- Jan 28, 2020
- Last updated
- Jan 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2018024000 | MO | Yes |
Practice location
710 Broadridge DrJackson, MO 63755-3042
Phone 888-365-6271
Mailing address
3422 Glenview DrCape Girardeau, MO 63701-3446
Phone 573-270-9335
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