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1104236496
LARA JEAN GOODMAN
NEW YORK, NY
NPI
1104236496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 084458-1)
Enumeration Date
2014-05-07
Last Update Date
2022-04-18
Business Address
Mrs. LARA JEAN GOODMAN LCSW
1801 7TH AVE 6B
NEW YORK, NY 10026-3602
Phone number: 917-526-0084
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Mailing Address
Mrs. LARA JEAN GOODMAN LCSW
1801 7TH AVE 6B
NEW YORK, NY 10026-3602
Phone number: 347-604-3505
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