NPI 1003036302
Courtney Elaine Goodrum, LCSW
Practice location
- Address
- 1 W Sunbridge Dr, Fayetteville, AR 72703-1825
- Phone
- (479) 443-5575
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1003036302
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Apr 2007
- Record last updated
- 30 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.