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1407047632
PHILIP J GOODMAN
LEXINGTON, KY
NPI
1407047632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 541)
Enumeration Date
2007-08-05
Last Update Date
2007-08-05
Business Address
-- PHILIP J GOODMAN LCSW
1310 W MAIN ST
LEXINGTON, KY 40508-2048
Phone number: 859-253-1993
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Mailing Address
-- PHILIP J GOODMAN LCSW
1310 W MAIN ST
LEXINGTON, KY 40508-2048
Phone number: 859-253-1993
Copy
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