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1205163516
JULIE ANN GOODMAN
BOISE, ID
NPI
1205163516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID 1227)
Enumeration Date
2009-11-06
Last Update Date
2009-11-06
Business Address
-- JULIE ANN GOODMAN LCSW
500 FORT ST VAMC
BOISE, ID 83702-4598
Phone number: 208-422-1000
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Mailing Address
-- JULIE ANN GOODMAN LCSW
2867 E RED FIR CT
BOISE, ID 83716-7102
Phone number: 208-422-1000
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