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1356106520
TANESIA N GOODRICH
PHOENIX, AZ
NPI
1356106520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LMSW-21070)
Enumeration Date
2024-02-16
Last Update Date
2024-02-16
Business Address
TANESIA N GOODRICH
4545 E SHEA BLVD
PHOENIX, AZ 85028-3074
Phone number: 480-382-0636
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Mailing Address
TANESIA N GOODRICH
12624 N 58TH DR
GLENDALE, AZ 85304-1894
Phone number: 314-358-8232
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