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1144511965
STEPHANIE GOODRUM
WORCESTER, MA
NPI
1144511965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-04-27
Last Update Date
2011-04-27
Business Address
-- STEPHANIE GOODRUM MSW
81 PLANTATION ST
WORCESTER, MA 01604-3069
Phone number: 508-849-5600
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Mailing Address
-- STEPHANIE GOODRUM MSW
5 KOSTA ST APT 2
WORCESTER, MA 01607-1524
Phone number:
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