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1154950947
MARISSA I GOODMAN
FORT LAUDERDALE, FL
NPI
1154950947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH13655)
Enumeration Date
2020-04-03
Last Update Date
2023-03-13
Business Address
MARISSA I GOODMAN LMHC, LPC, NCC, QS
1314 E LAS OLAS BLVD # 1606
FORT LAUDERDALE, FL 33301-2334
Phone number: 754-444-6486
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Mailing Address
MARISSA I GOODMAN LMHC, LPC, NCC, QS
1314 E LAS OLAS BLVD #1606
FORT LAUDERDALE, FL 33301
Phone number: 754-444-6486
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