Carl L Goodwin-moore

Name

Carl L Goodwin-moore

Year of birth

1961

Source

USA - Health and Human Services List of Excluded Individuals and Entities

Aliases

Carl L Goodwin-moore

Privacy Request

Additional Information

General: IND- LIC HC SERV PRO

Specialty: THERAPIST

Medical license number: 1811218571

Address: 94 PRESCOTT HILL ROAD

City: NORTHPORT

State: ME

Zip code: 04849

Exclusion type: License revocation, suspension, or surrender. Minimum Period: Period imposed by the state licensing authority. (Social Security Act: 1128(b)(4), 42 USC §: 1320a-7(b)(4))

Exclusion date: 2012-07-19


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