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1326265372
JERROLD WILLIAM GOODMAN
WEST HARTFORD, CT
NPI
1326265372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CT CT000414)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
Dr. JERROLD WILLIAM GOODMAN Ph.D.
68 S MAIN ST SUITE 200
WEST HARTFORD, CT 06107-2445
Phone number: 860-561-6178
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Mailing Address
Dr. JERROLD WILLIAM GOODMAN Ph.D.
68 S MAIN ST SUITE 200
WEST HARTFORD, CT 06107-2445
Phone number: 860-561-6178
Copy
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