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1013389493
MARISSA GOODMAN
CANTON, GA
NPI
1013389493
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT006313)
Enumeration Date
2015-10-26
Last Update Date
2015-10-26
Business Address
-- MARISSA GOODMAN
213 MANOUS WAY
CANTON, GA 30115-8715
Phone number: 404-668-3243
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Mailing Address
-- MARISSA GOODMAN
213 MANOUS WAY
CANTON, GA 30115-8715
Phone number:
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