DAVID GOODEN LCSW PC
Ambulatory Health at Pima St, Tucson, AZ

License number
Arizona 0808
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: DAVID C GOODEN LCSW
Title: OWNER PRESIDENT
Phone: (520) 733-2524
Address
Address
5920 E Pima St SUITE 140, Tucson, AZ 85712
National Provider ID: 1235263849
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DAVID GOODEN, LCSW, PC

5920 E Pima St, Tucson, AZ 85712

Status:
Inactive
Inactive reason:
Delinquent annual report
Registration:
Nov 1, 2002
Inactive since:
Feb 4, 2015
State ID:
-1051383-9
Expiration:
PERPETUAL
Vice-presidents:
David Gooden (President), 230 S El Volador, Tucson, AZ 85711 (Physical),Anne Gooden (Vice-president), 230 S El Volador, Tucson, AZ 85711 (Physical)
Business type:
HEALTH CARE

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