LESLIE GOODMAN

Peer Specialist

Active Individual
NPI: 1619565017

Practice Address

14430 NS 3500
Konawa, OK 74849

Phone: (580) 925-2650

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1619565017 is the National Provider Identifier for LESLIE GOODMAN, a Peer Specialist provider located in Konawa, OK. This NPI was enumerated on January 2, 2021.
LESLIE GOODMAN practices at 14430 NS 3500, Konawa, OK 74849.

Quick Facts

NPI
1619565017
Type
Individual
Enumerated
Jan 2, 2021
Last Updated
Jan 2, 2021

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