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1083901862
KENITH ALAN GOODMAN
SAN RAFAEL, CA
NPI
1083901862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC36868)
Enumeration Date
2011-06-30
Last Update Date
2011-06-30
Business Address
Mr. KENITH ALAN GOODMAN M.A., MFT
1368 LINCOLN AVE SUITE 214
SAN RAFAEL, CA 94901-2147
Phone number: 415-487-4313
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Mailing Address
Mr. KENITH ALAN GOODMAN M.A., MFT
1368 LINCOLN AVE SUITE 214
SAN RAFAEL, CA 94901-2147
Phone number: 415-487-4313
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