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1285814947
SUSAN LEE GOODMAN
CORVALLIS, OR
NPI
1285814947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C1091)
Enumeration Date
2007-11-10
Last Update Date
2007-11-10
Business Address
-- SUSAN LEE GOODMAN M.S., L.P.C., N.C.C.
744 NW 4TH ST
CORVALLIS, OR 97330-6415
Phone number: 541-619-2331
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Mailing Address
-- SUSAN LEE GOODMAN M.S., L.P.C., N.C.C.
2953 45TH CT SE
ALBANY, OR 97322-6473
Phone number: 541-619-2331
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