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1336274398
KELRIC S GOODMAN
BALTIMORE, MD
NPI
1336274398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MD LC1976)
Enumeration Date
2007-02-22
Last Update Date
2021-10-28
Business Address
KELRIC S GOODMAN LCPC
419 OELLA AVE
BALTIMORE, MD 21228-5419
Phone number: 443-851-3224
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Mailing Address
KELRIC S GOODMAN LCPC
419 OELLA AVE
CATONSVILLE, MD 21228-5419
Phone number: 443-851-3224
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