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1336861772
TIMOTHY GOAD
ANNA, IL
NPI
1336861772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-09-13
Last Update Date
2022-09-13
Business Address
TIMOTHY GOAD BGS
800 N MAIN ST
ANNA, IL 62906-1665
Phone number: 618-833-4456
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Mailing Address
TIMOTHY GOAD BGS
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483
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