Individual provider · Type 1 NPI

Stephanie Goodrum, MSW

Student in an Organized Health Care Education/Training Program · Worcester, MA

NPI number 1144511965 Active

Practice location

81 Plantation St
Worcester, MA 01604-3069

Call (508) 849-5600 Map

Fax (508) 849-5617

Mailing address

5 Kosta St Apt 2
Worcester, MA 01607-1524

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1144511965

Stephanie Goodrum, MSW's National Provider Identifier is 1144511965, issued on Apr 27, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Worcester, MA. The record was last updated on Apr 27, 2011.