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Search › Michigan › 164W00000X

Jacqueline Goodgame, LPN

NPI 1073009627 · on the registry since 2018

Practice

Address
4000 Town Ctr
Southfield, MI 48075
Phone
(248) 386-0300
Organisation at this address
Soul Grace Coaching Co,
Soul Forward Sober Companions
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-08-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan