| Shirley Goodlock | |
|
3091 E. Carleton Rd Adrian MI 49221 | |
| (734) 845-8901 | |
| Not Available |
| Full Name | Shirley Goodlock |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3091 E. Carleton Rd, Adrian, Michigan |
| Authorized Official Name and Position | Shirley Ann Goodlock (SIS ASSESSOR) |
| Authorized Official Contact | 7348458901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shirley Goodlock 3091 E. Carleton Rd Adrian MI 49221 Ph: (734) 845-8901 | Shirley Goodlock 3091 E. Carleton Rd Adrian MI 49221 Ph: (734) 845-8901 |
| NPI Number | 1316320039 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316320039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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